DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lichten, Zachary Ian	DOIID	961460	NAIC NPN	17859431

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/25/2017	2/28/2022
Inactive	Non Resident	Agent	Life	7/25/2017	2/28/2022
* 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	9/5/2017	1/22/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	9/29/2017	2/14/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	9/29/2017	2/14/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/30/2020	8/11/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/30/2020	8/11/2021
Inactive	LifeShield National Insurance Company	737111	Agent - Health	3/27/2019	12/21/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/12/2019	12/21/2021