DEPARTMENT OF INSURANCE

Affiliations

Name	Coastal Wealth Management Of Charleston LLC	DOIID	964842	NAIC NPN	18029162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/12/2023	3/31/2025
Active	Non Resident	Agent	Health	6/12/2023	3/31/2025
Denied	Non Resident	Agent	Variable Life and Variable Annuities
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/10/2023	3/31/2023
Inactive	American National Insurance Company	301861	Agent - Life	5/19/2020	3/31/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/27/2022	3/31/2023
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/27/2022	3/31/2023
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	4/27/2022	3/31/2023
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	4/27/2022	3/31/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/27/2022	3/31/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/27/2022	3/31/2023
Inactive	Integrity Life Insurance Company	301687	Agent - Life	2/11/2021	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Cox, Eric S	843742	Agent - Health	6/12/2023
Active	Cox, Eric S	843742	Agent - Life	6/12/2023
Denied	Cox, Eric S	843742	Agent - Variable Life and Variable Annuities