black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JANE E. KOPPENAAL

PRODUCER NON-RESIDENT

License Number:
PRN453463
Status:
First Licensure:
06/05/2023
Cancel Date:
None

Mailing:
AVON, NC 27915
Phone:
+1 (573) 579-0314
Email:
jane.koppenaal@icloud.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/05/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
09/02/2024 LHF168 04/17/2025
THE SAVINGS BANK MUTUAL LIFE INSURANCE COMPANY OF MASSACHUSETTS
09/21/2023 LHF50668
SUPREME COUNCIL OF THE ROYAL ARCANUM
07/19/2023 FRF116162 10/31/2024
UNITED OF OMAHA LIFE INSURANCE COMPANY
06/27/2023 LHF28 01/22/2025

Authority

Description Issue Date Termination Date Status
LIFE 06/05/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5075598

Other Addresses

Address Type
41133 DORY LN # 536
AVON, NC 27915-1254
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 07/05/2025 01:16:28 PM