DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Srivastava, Sanjay Kumar	DOIID	819186	NAIC NPN	17049913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/6/2013	6/1/2016
Inactive	Resident	Agent	Life	9/6/2013	6/1/2016
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/18/2013	6/1/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/18/2013	6/1/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/9/2013	9/14/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/9/2013	9/14/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/9/2013	9/14/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/9/2013	9/14/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/18/2013	6/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/18/2013	6/1/2016