DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gautam, Anjali Monique	DOIID	1347882	NAIC NPN	21216465

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/29/2024		1/31/2027
Active	Non Resident	Agent	Life	6/29/2024		1/31/2027
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/23/2026
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/23/2026
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/6/2026
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/2/2024	3/19/2026
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/2/2024	3/19/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/2/2024	3/19/2026
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/2/2024	3/19/2026