DEPARTMENT OF INSURANCE
Affiliations
NameFortin, Stephen PatrickDOIID715844NAIC NPN7045128
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities10/15/2009 4/30/2025
ActiveNon ResidentAgentLife10/15/2009 4/30/2025
ActiveNon ResidentAgentHealth10/15/2009 4/30/2025
* 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
ActiveAllianz Life Insurance Company of North America301791Agent - Life9/11/2020 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/11/2020 
ActiveAmerican General Life Insurance Company301585Agent - Health4/15/2020 
ActiveAmerican General Life Insurance Company301585Agent - Life4/15/2020 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities4/15/2020 
ActiveJackson National Life Insurance Company300486Agent - Life3/5/2020 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities3/5/2020 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health10/16/2009 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life10/16/2009 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities10/16/2009 
InactiveNationwide Life Insurance Company300495Agent - Health1/26/202112/12/2022
InactiveNationwide Life Insurance Company300495Agent - Life1/26/202112/12/2022
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities1/26/202112/12/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health1/26/202112/12/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life1/26/202112/12/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities1/26/202112/12/2022
ActivePrincipal Life Insurance Company300129Agent - Health8/19/2021 
ActivePrincipal Life Insurance Company300129Agent - Life8/19/2021 
ActiveStandard Insurance Company300185Agent - Health3/29/2016 
ActiveStandard Insurance Company300185Agent - Life3/29/2016 
ActiveTransamerica Life Insurance Company300571Agent - Life5/6/2016 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/6/2016 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveTBS Agency, Inc.502294Agent - Variable Life and Variable Annuities4/27/2023 
ActiveTBS Agency, Inc.502294Agent - Life4/27/2023 
ActiveTBS Agency, Inc.502294Agent - Health4/27/2023 

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