DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nationwide Health Advisors DBA : ATLANTIC HEALTH	DOIID	903321	NAIC NPN	17728291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/22/2016	3/31/2020
Inactive	Non Resident	Agent	Health	9/22/2016	3/31/2020
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	AXIS Insurance Company	301290	Agent - Health	5/24/2018	3/31/2020
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/13/2017	3/31/2020
Inactive	Federal Insurance Company	301144	Agent - Health	6/20/2019	3/31/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Donisi, Charles C	662756	Agent - Health	9/22/2016	3/31/2020
Inactive	Donisi, Charles C	662756	Agent - Life	9/22/2016	3/31/2020