DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gautam, Pushpa	DOIID	1259937	NAIC NPN	20451849

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/6/2023	5/31/2024
Inactive	Non Resident	Agent	Health	3/6/2023	5/31/2024
* 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	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	3/17/2023	5/31/2024
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/17/2023	5/31/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/21/2023	5/31/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/21/2023	5/31/2024

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	3/17/2023	5/31/2024
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	3/17/2023	5/31/2024