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DEPARTMENT OF INSURANCE
Affiliations
Name
Bergstrom, Jason August
DOIID
729788
NAIC NPN
15790356
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
6/8/2010
2/24/2012
Inactive
Non Resident
Agent
Life
6/8/2010
2/24/2012
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
8/26/2010
2/18/2011
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
6/17/2010
2/11/2011
Inactive
Pruco Life Insurance Company
300954
Agent - Health
6/14/2010
11/12/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Life
6/14/2010
11/12/2010
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
6/14/2010
3/7/2011
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
6/14/2010
3/7/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Efinancial LLC
598419
Agent - Health
6/21/2010
12/20/2010
Inactive
Efinancial LLC
598419
Agent - Life
6/21/2010
12/20/2010
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