DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Polavaram, Purushotham	DOIID	1082570	NAIC NPN	17052118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/29/2020		3/31/2025
Active	Non Resident	Agent	Life	4/29/2020		3/31/2025
* 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
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/25/2020
Active	American General Life Insurance Company	301585	Agent - Health	10/15/2024
Active	American General Life Insurance Company	301585	Agent - Life	10/15/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/11/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/1/2022	10/16/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/1/2022	10/16/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/28/2024	11/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	10/28/2022	10/17/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	10/28/2022	10/17/2024