DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gelbwaks, Peter Seth	DOIID	572680	NAIC NPN	434323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/10/2003	11/30/2016
Inactive	Non Resident	Agent	Life	7/10/2003	11/30/2016
* 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	Genworth Life Insurance Company	300623	Agent - Health	2/24/2004	11/30/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/24/2004	11/30/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	2/13/2010	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	2/13/2010	12/14/2016
Inactive	MedAmerica Insurance Company	301568	Agent - Health	3/22/2004	4/21/2015
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/13/2005	1/7/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/13/2005	1/7/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/20/2004	11/30/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/20/2004	11/30/2016
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	3/28/2007	11/5/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	3/28/2007	11/5/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gelbwaks Executive Marketing Corp	731054	Agent - Health	6/25/2010	11/30/2016
Inactive	Gelbwaks Executive Marketing Corp	731054	Agent - Life	6/25/2010	11/30/2016
Denied	Gelbwaks Ins Services Inc	682808	Agent - Health
Denied	Gelbwaks Ins Services Inc	682808	Agent - Life