DEPARTMENT OF INSURANCE
Affiliations
NameIBN Financial Services IncDOIID812429NAIC NPN4655038
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities3/26/2014 3/31/2025
ActiveNon ResidentAgentLife6/14/2013 3/31/2025
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveForethought Life Insurance Company301407Agent - Life5/14/2019 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities5/14/2019 
ActiveJackson National Life Insurance Company300486Agent - Life1/26/2021 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities1/26/2021 
ActiveNationwide Life Insurance Company300495Agent - Life4/19/2022 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/19/2022 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life4/19/2022 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/19/2022 
ActivePruco Life Insurance Company300954Agent - Life11/7/2017 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities11/7/2017 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveEllis, Theresa Lynn 649014Agent - Life6/14/2013 
ActiveEllis, Theresa Lynn 649014Agent - Variable Life and Variable Annuities3/26/2014 

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