DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tambe, Patrick Bawack	DOIID	1021025	NAIC NPN	18919276

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/4/2018		4/30/2027
Active	Non Resident	Agent	Life	12/4/2018		4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	5/1/2019
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/1/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	9/26/2019
Active	Transamerica Life Insurance Company	300571	Agent - Life	9/26/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/25/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/25/2019	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	4/26/2019
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	4/26/2019