DEPARTMENT OF INSURANCE

Affiliations

Name	Przybilla, Eric Robert	DOIID	640112	NAIC NPN	7368533

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	9/16/2006	9/30/2026
Active	Non Resident	Agent	Life	9/16/2006	9/30/2026
Active	Non Resident	Agent	Health	9/16/2006	9/30/2026
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	07/16/2024	07/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	10/4/2006	1/3/2012
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	10/4/2006	4/1/2023
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Variable Life and Variable Annuities	10/4/2006	4/1/2023
Active	Metropolitan Tower Life Insurance Company	300322	Agent - Life	8/2/2018
Active	Midland National Life Insurance Company	300923	Agent - Life	1/29/2016
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	10/5/2006
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	10/5/2006
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	10/5/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clark Consulting, LLC	502122	Agent - Health	6/28/2007
Active	Clark Consulting, LLC	502122	Agent - Life	6/28/2007