Company Information

JEFFERSON NATIONAL LIFE INSURANCE COMPANY

One West Nationwide Blvd.

Columbus, OH 43215-2220

866-667-0561

64017

Company Type	License #	Original Issue Date	Status	Status Date	Domicile State
Life and Health	290	07/01/1966	Active	07/01/1966	Texas

Authorized Line	Status	Effective Date	Reinsurer
Life	Approved	07/01/1966	No
Health - Life and Health Company	Approved	07/01/1966	No

Agent Name	Status	Active Date	Appointment
1258183
BAINES, ALEXANDER J	Active	12/01/2021	Life
	Active	12/01/2021	Var. Annuities/Var. Life
905370
Agent Name	Status	Active Date	Appointment
BERTORELLI, CHRISTOPHER MARIO	Active	12/02/2024	Life
	Active	12/02/2024	Var. Annuities/Var. Life
1953658
Agent Name	Status	Active Date	Appointment
BLOCK, LEWIS J	Active	01/24/2023	Life
	Active	01/24/2023	Var. Annuities/Var. Life
868469
Agent Name	Status	Active Date	Appointment
BRINKERHOFF, JOHN A	Active	09/09/2024	Life
	Active	09/09/2024	Var. Annuities/Var. Life
1048234
Agent Name	Status	Active Date	Appointment
BUTLER, ANDREA C	Active	07/25/2024	Life
	Active	07/25/2024	Var. Annuities/Var. Life
2095456
Agent Name	Status	Active Date	Appointment
CANNISTRACI, LISA	Active	03/05/2024	Life
	Active	03/05/2024	Var. Annuities/Var. Life
2012493
Agent Name	Status	Active Date	Appointment
CRANSWICK, HARLEY ERIC	Active	07/07/2023	Life
	Active	07/07/2023	Var. Annuities/Var. Life
52313
Agent Name	Status	Active Date	Appointment
CUDDY, DANIEL CHARLES	Active	12/04/2020	Life

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