DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gotrich, Bert Goran	DOIID	815155	NAIC NPN	568329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/23/2013	10/17/2014
* 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	American General Life Insurance Company	301585	Agent - Life	7/23/2013	10/17/2014
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/9/2013	10/17/2014
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/2/2013	10/17/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jackson National Life Insurance Agency LLC	400555	Agent - Life	10/17/2013	10/17/2014