DEPARTMENT OF INSURANCE
Affiliations
NameBornman, Riaan JamesDOIID843898NAIC NPN17302564
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth7/28/20143/1/2018 
InactiveResidentAgentLife7/17/20143/1/2018 
InactiveResidentAgentVariable Life and Variable Annuities12/18/20143/1/2018 
* 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
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/26/20157/25/2016
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/26/20157/25/2016
InactiveAnthem Life Insurance Company301209Agent - Health10/12/20153/1/2018
InactiveAnthem Life Insurance Company301209Agent - Life10/12/20153/1/2018
InactiveBanner Life Insurance Company301696Agent - Life2/25/20163/1/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/11/20161/8/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/11/20161/8/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/11/20161/8/2018
InactiveNew York Life Insurance Company300431Agent - Health10/8/201410/22/2015
InactiveNew York Life Insurance Company300431Agent - Life7/18/201410/22/2015
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health10/8/201410/22/2015
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life7/18/201410/22/2015
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities2/19/201510/22/2015
InactivePrincipal National Life Insurance Company301926Agent - Life10/13/20163/1/2018
InactiveProtective Life Insurance Company300638Agent - Health10/19/201511/23/2017
InactiveProtective Life Insurance Company300638Agent - Life10/19/201511/23/2017
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities10/19/201511/23/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMedlink Inc400721Agent - Health10/9/20153/1/2018
InactiveMedlink Inc400721Agent - Life10/9/20153/1/2018
InactiveNYLIFE Securities, LLC645470Agent - Health2/24/201510/23/2015
InactiveNYLIFE Securities, LLC645470Agent - Life2/24/201510/23/2015
InactiveNYLIFE Securities, LLC645470Agent - Variable Life and Variable Annuities2/24/201510/23/2015

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