DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Buchwald, Lynette R	DOIID	1030669	NAIC NPN	6900846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	12/14/2021		11/30/2024
Active	Non Resident	Agent	Health	2/28/2019		11/30/2024
Active	Non Resident	Agent	Life	2/28/2019		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	09/15/2024	11/30/2024
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Life Insurance Company	300495	Agent - Health	2/6/2020
Active	Nationwide Life Insurance Company	300495	Agent - Life	2/6/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tristar Benefit Administrators Inc	751910	Administrator - Not Applicable	12/16/2021