black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JASON ANTALEK

PRODUCER NON-RESIDENT

License Number:
PRN465992
Status:
First Licensure:
10/05/2023
Cancel Date:
None

Mailing:
RYE BROOK, NY 10573
Phone:
+1 (914) 288-8977
Email:
jantalek@cambiumonline.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/05/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERITAS LIFE INSURANCE CORP
10/10/2023 LHF944
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
10/06/2023 LHF804
GUARDIAN INSURANCE & ANNUITY COMPANY INC
10/06/2023 LHF27827
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
10/06/2023 LHF644

Authority

Description Issue Date Termination Date Status
HEALTH 10/05/2023 Active
LIFE 10/05/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20263777

Other Addresses

Address Type
RYE BROOK, NY 10573
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: 05/19/2025 09:33:18 PM