DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Muniz Groenendyk, Jacqueline Kay	DOIID	1174307	NAIC NPN	19481243

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/7/2024		9/30/2026
Active	Non Resident	Agent	Life	2/7/2024		9/30/2026
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	2/13/2024	12/17/2024
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/19/2022	10/20/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	2/12/2024
Active	Nationwide Life Insurance Company	300495	Agent - Life	2/12/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	2/22/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/22/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	4/22/2024
Active	Transamerica Life Insurance Company	300571	Agent - Life	4/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	3/18/2024
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	3/18/2024