DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Atlantic Ins Brokerage	DOIID	966791	NAIC NPN	16341714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/11/2017	3/31/2019
Inactive	Non Resident	Agent	Life	9/11/2017	3/31/2019
* 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	9/25/2017	3/31/2019
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/25/2017	3/31/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/8/2018	3/5/2019
Inactive	Royal Neighbors of America	301646	Agent - Life	2/27/2018	9/14/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Morafates, Andrew	916898	Agent - Health	9/7/2017	3/31/2019
Inactive	Morafates, Andrew	916898	Agent - Life	9/7/2017	3/31/2019