DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Potz, Randall Joseph	DOIID	1096642	NAIC NPN	17151761

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/3/2020	3/31/2022
Inactive	Non Resident	Agent	Life	9/3/2020	3/31/2022
* 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	10/5/2020	3/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	9/21/2020	3/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	9/21/2020	3/31/2022

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	11/10/2020	3/31/2022
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	11/10/2020	3/31/2022