DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Holloway, Andrew J	DOIID	1087303	NAIC NPN	18463441

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/24/2020	9/20/2022
Inactive	Non Resident	Agent	Life	6/24/2020	9/20/2022
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	3/15/2022	9/20/2022
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	7/10/2020	8/24/2022
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	7/10/2020	8/24/2022
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	10/26/2020	9/20/2022
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/26/2020	9/20/2022
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	10/26/2020	9/20/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/26/2020	9/20/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/26/2020	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Physicians Thrive LLC	833184	Agent - Life	10/14/2020	6/14/2022
Inactive	Physicians Thrive LLC	833184	Agent - Health	10/14/2020	6/14/2022