DEPARTMENT OF INSURANCE
Affiliations
NameForesters Financial Services, IncDOIID583036NAIC NPN99284
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth1/12/20048/18/2020 
InactiveNon ResidentAgentLife1/12/20048/18/2020 
InactiveNon ResidentAgentVariable Life and Variable Annuities1/12/20048/18/2020 
* 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
InactiveIndependent Order of Foresters300743Agent - Health2/9/20118/18/2020
InactiveIndependent Order of Foresters300743Agent - Life2/9/20118/18/2020
InactiveJohn Hancock Life Insurance Company300821Agent - Life3/18/200912/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/18/20098/18/2020
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health7/11/20078/18/2020
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life7/11/20078/18/2020
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/11/20078/18/2020
InactiveVenerable Insurance and Annuity Company301006Agent - Life2/17/20048/18/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities2/17/20048/18/2009
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCharak, Conrad W 573914Agent - Health1/12/20045/5/2011
InactiveCharak, Conrad W 573914Agent - Life1/12/20045/5/2011
InactiveCharak, Conrad W 573914Agent - Variable Life and Variable Annuities1/12/20045/5/2011
InactiveStainsby, Jay T 751366Agent - Health5/5/20118/18/2020
InactiveStainsby, Jay T 751366Agent - Life5/5/20118/18/2020
InactiveStainsby, Jay T 751366Agent - Variable Life and Variable Annuities5/5/20118/18/2020

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