DEPARTMENT OF INSURANCE
Affiliations
NameSiebeneck, Edward JohnDOIID546741NAIC NPN5317784
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities3/21/20026/30/2015 
InactiveNon ResidentAgentLife3/21/20026/30/2015 
InactiveNon ResidentAgentHealth3/21/20026/30/2015 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health1/11/20053/4/2009
InactiveAmerican General Life Insurance Company301585Agent - Life1/11/20053/4/2009
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities1/11/20053/4/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/12/200912/23/2014
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/12/200912/23/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health3/26/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/26/200912/7/2012
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/22/200312/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life1/22/200312/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20084/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/20084/18/2012
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life1/22/200312/12/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/28/20043/3/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/28/20043/3/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/28/20043/3/2009
InactiveMetLife Investors Insurance Company301872Agent - Health3/21/20023/5/2009
InactiveMetLife Investors Insurance Company301872Agent - Life3/21/20023/5/2009
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities3/21/20023/5/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Health4/23/20043/5/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life4/23/20043/5/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities4/23/20043/5/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health4/23/20044/23/2004
InactiveMetropolitan Life Insurance Company301948Agent - Life4/23/20044/23/2004
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities4/23/20045/4/2004
InactiveNew England Life Insurance Company300343Agent - Health4/29/20025/4/2004
InactiveNew England Life Insurance Company300343Agent - Life4/29/20025/4/2004
InactiveNew England Life Insurance Company300343Agent - Variable Life and Variable Annuities4/29/20025/4/2004
InactivePacific Life Insurance Company301848Agent - Life2/28/20068/21/2013
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities2/28/20068/21/2013
InactiveProtective Life Insurance Company300638Agent - Health4/8/200211/23/2009
InactiveProtective Life Insurance Company300638Agent - Life4/8/200211/23/2009
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/8/200211/23/2009
InactivePruco Life Insurance Company300954Agent - Health3/12/200912/23/2014
InactivePruco Life Insurance Company300954Agent - Life3/12/200912/23/2014
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/12/200912/23/2014
InactiveRiverSource Life Insurance Company301952Agent - Health3/2/20096/23/2015
InactiveRiverSource Life Insurance Company301952Agent - Life3/2/20096/23/2015
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities3/2/20096/23/2015
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life4/28/200412/1/2010
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities4/28/200412/1/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Health4/4/200212/29/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/4/200212/29/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities4/4/200212/29/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health4/4/200212/29/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life4/4/200212/29/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities4/4/200212/29/2008
InactiveTransamerica Advisors Life Insurance Company300539Agent - Health4/16/20043/4/2009
InactiveTransamerica Advisors Life Insurance Company300539Agent - Life4/16/20043/4/2009
InactiveTransamerica Advisors Life Insurance Company300539Agent - Variable Life and Variable Annuities4/16/20043/4/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Life4/29/200412/22/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities4/29/200412/22/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmeriprise Financial Services, LLC398326Agent - Health4/14/20156/23/2015
InactiveAmeriprise Financial Services, LLC398326Agent - Life4/14/20156/23/2015
InactiveAmeriprise Financial Services, LLC398326Agent - Variable Life and Variable Annuities4/14/20156/23/2015
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Health4/26/20024/23/2004
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Life4/26/20024/23/2004
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Variable Life and Variable Annuities4/26/20024/23/2004
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health9/10/20043/12/2009
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life9/10/20043/12/2009
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities9/10/20043/12/2009

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