black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GENWORTH LIFE & ANNUITY INSURANCE COMPANY

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

INSURANCE COMPANY

License Number:
LHF966
Status:
First Licensure:
05/06/1988
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
65536

Street Location:
6610 W BROAD ST
RICHMOND, VA 23230-1702
Mailing:
11011 W BROAD ST
GLEN ALLEN, VA 23060-5937
Phone:
+1 (888) 436-9678
Email:
corpgov.genworth@genworth.com

History

License Type Start Date End Date
INSURANCE COMPANY 02/28/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
GARY RICHARD BERGERON
01/09/2024 PRR175808
ANGELA ROACH
03/14/2023 PRR251279

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 Active
HEALTH 03/01/1996 Active
VARIABLE LIFE 03/01/1996 Active
VARIABLE ANNUITY 03/01/1996 Active
VARIABLE LIFE & ANNUITY 01/19/1995 03/01/1996 Terminated
HEALTH 01/01/1901 07/01/1995 Terminated
LIFE AND HEALTH 01/01/1901 03/01/1996 Terminated
LIFE 01/01/1901 07/01/1995 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT PENNI CANTER
PENNI CANTER
3100 ALBERT LANKFORD DR
LYNCHBURG, VA 24501-4948
Phone: +1 (804) 992-5402
Email: licensingbpis@genworth.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

Case Action Taken Date
RIRS-1532 Consent Order 04/05/2006

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
65536

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: 05/13/2025 11:51:29 PM