DEPARTMENT OF INSURANCE

Affiliations

Name	Petrin, Russell W	DOIID	686271	NAIC NPN	7460912

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	3/31/2015	9/30/2025
Active	Non Resident	Agent	Life	3/31/2015	9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	6/27/2022
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	6/23/2022
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/1/2011	9/30/2013
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	9/1/2011	9/30/2013
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/23/2015	12/15/2015
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	8/20/2009	6/24/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/8/2015	12/15/2015
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	5/11/2015	12/15/2015
Active	Transamerica Life Insurance Company	300571	Agent - Life	4/27/2015
Active	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	4/27/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sbhu Life Agency Inc	689591	Agent - Life	4/23/2015
Active	Sbhu Life Agency Inc	689591	Agent - Variable Life and Variable Annuities	4/27/2015