DEPARTMENT OF INSURANCE

Affiliations

Name	Gould, Diane Hack	DOIID	365380	NAIC NPN	367400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/27/1997	11/30/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	10/15/2022	11/30/2025
Active	Non Resident	Agent	Health	1/27/1997	11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	4/13/1998	4/4/2017
Active	NYLIFE Insurance Company of Arizona	301642	Agent - Life	5/2/2023
Active	New York Life Insurance Company	300431	Agent - Health	1/27/1997
Active	New York Life Insurance Company	300431	Agent - Life	1/27/1997
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	1/27/1998
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	1/27/1998
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	10/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	NYLIFE Securities, LLC	645470	Agent - Life	11/3/2022
Active	NYLIFE Securities, LLC	645470	Agent - Health	11/3/2022
Active	NYLIFE Securities, LLC	645470	Agent - Variable Life and Variable Annuities	11/3/2022