DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lagoy, Simeon Levi	DOIID	1296420	NAIC NPN	19743741

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/5/2023		1/31/2026
Pending Replacement	Non Resident	Agent	Life	9/5/2023		1/31/2026
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/26/2023	12/17/2025
Pending Replacement	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	10/30/2023
Pending Replacement	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	World Financial Group Insurance Agency, LLC	400520	Agent - Life	10/19/2023
Pending Replacement	World Financial Group Insurance Agency, LLC	400520	Agent - Health	10/30/2023