DEPARTMENT OF INSURANCE
Affiliations
NameBrisben, Jeffrey DOIID710460NAIC NPN1452670
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/31/20099/30/2023 
InactiveNon ResidentAgentVariable Life and Variable Annuities8/3/20099/30/2023 
InactiveNon ResidentAgentLife7/31/20099/30/2023 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health7/8/202010/7/2020
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/8/20209/30/2023
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities7/8/20209/30/2023
InactiveNationwide Life Insurance Company300495Agent - Health8/12/20099/30/2023
InactiveNationwide Life Insurance Company300495Agent - Life8/12/20099/30/2023
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities8/12/20099/30/2023
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life4/14/20104/7/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities4/14/20104/7/2014
InactiveSymetra Life Insurance Company301691Agent - Health3/10/20229/30/2023
InactiveSymetra Life Insurance Company301691Agent - Life3/10/20229/30/2023
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities3/10/20229/30/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health8/13/20099/30/2023
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life8/13/20099/30/2023
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities8/13/20099/30/2023
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Health11/2/20109/30/2023
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life11/2/20109/30/2023
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities11/2/20109/30/2023

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