black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS WILLIAM BERTELSEN

PRODUCER NON-RESIDENT

License Number:
PRN456995
Status:
First Licensure:
07/17/2023
Cancel Date:
None

Mailing:
SAN DIEGO, CA 92111
Phone:
+1 (619) 887-1363
Fax:
+1 (619) 974-9747
Email:
tbertelsen@ft.newyorklife.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/17/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION
07/17/2023 LHF867 03/04/2024
NEW YORK LIFE INSURANCE COMPANY
07/17/2023 LHF230
NYLIFE INSURANCE COMPANY OF ARIZONA
11/11/2023 LHF466733

Authority

Description Issue Date Termination Date Status
LIFE 07/17/2023 Active
VARIABLE CONTRACTS 07/17/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1621978

Other Addresses

Address Type
6712 FASHION HILLS BLVD
SAN DIEGO, CA 92111-7626
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: 06/25/2026 07:45:08 PM