DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Manjarrez, Adrian	DOIID	1205821	NAIC NPN	20272801

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	5/18/2022		2/28/2025
Pending Replacement	Non Resident	Agent	Health	5/18/2022		2/28/2025
* 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	12/15/2024	02/28/2025

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	6/1/2022	7/8/2024
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/1/2022	7/8/2024

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	6/2/2022	12/1/2022
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	6/2/2022	12/1/2022