DEPARTMENT OF INSURANCE
Affiliations
NameBergstrom, Theodore ScottDOIID697653NAIC NPN12848160
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities9/25/2023 6/30/2025
ActiveResidentAgentHealth9/25/2023 6/30/2025
ActiveResidentAgentLife9/25/2023 6/30/2025
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBanner Life Insurance Company301696Agent - Life5/11/20206/30/2023
InactiveGenworth Life Insurance Company300623Agent - Health10/26/200912/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life10/26/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/25/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/25/200912/7/2012
InactiveJohn Hancock Life Insurance Company300821Agent - Health11/24/200912/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life11/24/200912/30/2009
DeniedJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health  
DeniedJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life  
ActiveRiverSource Life Insurance Company301952Agent - Health1/29/2024 
ActiveRiverSource Life Insurance Company301952Agent - Life1/29/2024 
ActiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities1/29/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmeriprise Financial Services, LLC398326Agent - Health11/10/200911/25/2022
InactiveAmeriprise Financial Services, LLC398326Agent - Life11/10/20096/30/2023
InactiveAmeriprise Financial Services, LLC398326Agent - Variable Life and Variable Annuities11/10/200911/25/2022

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