DEPARTMENT OF INSURANCE

Affiliations

Name	Teitelbaum, Marc	DOIID	727542	NAIC NPN	10355061

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	5/3/2010	10/31/2026
Active	Non Resident	Agent	Life	5/3/2010	10/31/2026
* 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	08/15/2024	10/31/2024	08/27/2024	08/27/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/27/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	8/27/2020
Active	Empower Annuity Insurance Company of America	300259	Agent - Life	6/18/2011
Active	Empower Annuity Insurance Company of America	300259	Agent - Variable Life and Variable Annuities	6/18/2011
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/30/2013
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	9/30/2013
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	8/22/2013
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	8/22/2013
Active	Symetra Life Insurance Company	301691	Agent - Life	7/22/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Merrill Lynch Life Agency Inc.	400527	Agent - Life	6/7/2013
Active	Merrill Lynch Life Agency Inc.	400527	Agent - Variable Life and Variable Annuities	6/7/2013