DEPARTMENT OF INSURANCE
Affiliations
NameIBN Financial Services IncDOIID812429NAIC NPN4655038
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife6/14/20138/1/2025 
InactiveNon ResidentAgentVariable Life and Variable Annuities3/26/20148/1/2025 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life10/22/20248/1/2025
InactiveForethought Life Insurance Company301407Agent - Life5/14/20198/1/2025
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities5/14/20198/1/2025
InactiveJackson National Life Insurance Company300486Agent - Life1/26/20218/1/2025
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities1/26/20218/1/2025
InactiveNationwide Life Insurance Company300495Agent - Life4/19/20228/1/2025
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/19/20228/1/2025
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life4/19/20228/1/2025
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/19/20228/1/2025
InactivePruco Life Insurance Company300954Agent - Life11/7/20178/1/2025
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities11/7/20178/1/2025
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEllis, Theresa Lynn 649014Agent - Life6/14/20136/1/2025
InactiveEllis, Theresa Lynn 649014Agent - Variable Life and Variable Annuities3/26/20146/1/2025

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