DEPARTMENT OF INSURANCE
Affiliations
NameBundren, Crissy DOIID902866NAIC NPN17815124
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife1/5/2016 9/30/2026
ActiveResidentAgentVariable Life and Variable Annuities1/5/2016 9/30/2026
ActiveResidentAgentHealth1/5/2016 9/30/2026
* 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/202407/08/202407/08/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life9/4/201811/11/2021
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/4/201811/3/2021
ActiveAmerican General Life Insurance Company301585Agent - Health7/28/2016 
ActiveAmerican General Life Insurance Company301585Agent - Life7/28/2016 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities7/28/2016 
ActiveAmerican United Life Insurance Company300498Agent - Health7/9/2019 
ActiveAmerican United Life Insurance Company300498Agent - Life7/9/2019 
ActiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities7/9/2019 
ActiveBanner Life Insurance Company301696Agent - Life6/4/2022 
ActiveBrighthouse Life Insurance Company301829Agent - Health1/11/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Life1/11/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities1/11/2016 
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life5/8/201710/5/2021
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities5/8/201710/5/2021
InactiveJackson National Life Insurance Company300486Agent - Health9/11/201811/6/2018
ActiveJackson National Life Insurance Company300486Agent - Life9/11/2018 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities9/11/2018 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health1/5/2016 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life1/5/2016 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/5/2016 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/21/20163/26/2019
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life12/17/2021 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities9/21/20163/26/2019
InactiveMetropolitan Life Insurance Company301948Agent - Health1/11/20164/28/2018
ActiveMetropolitan Life Insurance Company301948Agent - Life8/8/2018 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities8/8/2018 
ActiveNationwide Life Insurance Company300495Agent - Health11/2/2023 
ActiveNationwide Life Insurance Company300495Agent - Life11/2/2023 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/2/2023 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/2/2016 
ActivePacific Life Insurance Company301848Agent - Health1/18/2021 
ActivePacific Life Insurance Company301848Agent - Life4/27/2016 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities4/27/2016 
ActiveProtective Life Insurance Company300638Agent - Health1/8/2016 
ActiveProtective Life Insurance Company300638Agent - Life1/8/2016 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities1/8/2016 
ActivePruco Life Insurance Company300954Agent - Life3/7/2016 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/7/2016 
ActiveTransamerica Life Insurance Company300571Agent - Life1/12/2016 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities1/12/2016 
ActiveUSAA Life Insurance Company300734Agent - Life2/6/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveEdward D Jones & Co. Limited Partnership398146Agent - Health1/11/2016 
ActiveEdward D Jones & Co. Limited Partnership398146Agent - Life1/11/2016 
ActiveEdward D Jones & Co. Limited Partnership398146Agent - Variable Life and Variable Annuities1/11/2016 

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