DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sampangiramaiah, Chitra C	DOIID	907591	NAIC NPN	16932757

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/22/2016	1/31/2018
Inactive	Non Resident	Agent	Life	2/22/2016	1/31/2018
* 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	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	4/14/2016	1/18/2018
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/14/2016	1/18/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	4/28/2016	12/15/2017
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	4/28/2016	1/18/2018