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DEPARTMENT OF INSURANCE
Affiliations
Name
Gervasoni, Susan
DOIID
850088
NAIC NPN
4585308
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
8/29/2014
10/31/2021
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
8/29/2014
10/31/2021
Inactive
Non Resident
Agent
Life
8/29/2014
10/31/2021
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
6/3/2015
10/25/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
6/3/2015
11/2/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
6/3/2015
11/2/2021
Inactive
Banner Life Insurance Company
301696
Agent - Life
12/23/2014
7/28/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/22/2014
10/31/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/22/2014
10/31/2021
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
12/22/2014
7/26/2021
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Variable Life and Variable Annuities
12/22/2014
7/26/2021
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
8/12/2015
12/29/2016
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
8/12/2015
10/31/2021
Inactive
Everlake Life Insurance Company
300873
Agent - Life
5/31/2017
2/18/2021
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
5/31/2017
1/28/2021
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Health
6/2/2015
7/27/2021
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
6/2/2015
7/27/2021
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
6/2/2015
7/27/2021
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
8/12/2021
10/31/2021
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
8/12/2021
10/31/2021
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
12/1/2020
10/31/2021
Inactive
Jefferson National Life Insurance Company
300258
Agent - Variable Life and Variable Annuities
12/1/2020
10/31/2021
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/5/2014
1/21/2017
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/29/2014
12/28/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
8/29/2014
12/28/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
8/29/2014
12/28/2018
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
5/28/2015
10/31/2021
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
5/28/2015
10/31/2021
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
5/28/2015
10/31/2021
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
11/22/2017
10/31/2021
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
11/22/2017
10/31/2021
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
11/22/2017
10/31/2021
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
5/11/2015
10/31/2021
Inactive
Pacific Life Insurance Company
301848
Agent - Life
3/23/2015
7/5/2019
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
3/23/2015
7/5/2019
Inactive
Principal Life Insurance Company
300129
Agent - Life
10/26/2015
7/27/2021
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
10/26/2015
7/27/2021
Inactive
Principal National Life Insurance Company
301926
Agent - Life
10/26/2015
7/27/2021
Inactive
Principal National Life Insurance Company
301926
Agent - Variable Life and Variable Annuities
10/26/2015
7/27/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Life
6/2/2015
7/27/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
6/2/2015
7/27/2021
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
12/22/2014
12/23/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
12/22/2014
12/23/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
12/22/2014
12/23/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
12/22/2014
12/23/2015
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Life
1/21/2015
7/1/2019
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Variable Life and Variable Annuities
1/21/2015
7/1/2019
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
9/10/2014
10/31/2021
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
9/10/2014
10/31/2021
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
1/21/2015
10/1/2020
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Variable Life and Variable Annuities
1/21/2015
10/1/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Variable Life and Variable Annuities
8/29/2014
8/10/2021
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Health
9/9/2014
8/10/2021
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Life
8/29/2014
8/10/2021
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