DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Meridian Wealth Management West LLC	DOIID	1074242	NAIC NPN	19424904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/7/2022		3/31/2026
Active	Resident	Agent	Life	6/7/2022		3/31/2026
* 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
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	3/24/2020	3/31/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/24/2020	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Couch, Gregory Wayne	610038	Agent - Health	7/13/2023
Active	Couch, Gregory Wayne	610038	Agent - Life	7/14/2023