DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wongchinsri, Audrey	DOIID	976960	NAIC NPN	18524467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/17/2017	7/31/2020
Inactive	Non Resident	Agent	Life	11/17/2017	7/31/2020
* 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	7/11/2018	7/31/2020
Inactive	Aspen American Insurance Company	301513	Agent - Health	6/26/2019	7/31/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/8/2020	9/9/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/8/2020	9/9/2020
Inactive	LifeShield National Insurance Company	737111	Agent - Health	12/23/2018	7/31/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/19/2018	7/31/2020

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	8/9/2019	7/31/2020