DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Panchanok Chumpumud	DOIID	1271201	NAIC NPN	19976462

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/26/2023		5/31/2026
Active	Non Resident	Agent	Health	4/26/2023		5/31/2026
* 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
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	5/15/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/15/2023
Active	Transamerica Life Insurance Company	300571	Agent - Health	5/17/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	5/17/2023

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	5/15/2023
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	5/15/2023