DEPARTMENT OF INSURANCE

Affiliations

Name	Dellenbach, Hans	DOIID	706434	NAIC NPN	7504206

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/26/2009	4/30/2019
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/26/2009	4/30/2019
Inactive	Non Resident	Agent	Health	5/26/2009	4/30/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/18/2013	4/30/2019
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/18/2013	4/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh Executive Benefits, Inc.	518024	Agent - Health	3/5/2010	12/17/2012
Inactive	Marsh Executive Benefits, Inc.	518024	Agent - Life	3/5/2010	12/17/2012
Denied	Marsh Executive Benefits, Inc.	518024	Agent - Variable Life and Variable Annuities
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/9/2014	4/30/2019
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/9/2014	4/30/2019