DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Meridian Wealth Management West LLC	DOIID	1074242	NAIC NPN	19424904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/7/2022		3/31/2026
Active	Resident	Agent	Life	6/7/2022		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

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	3/24/2020	3/31/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/24/2020	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Couch, Gregory Wayne	610038	Agent - Health	7/13/2023
Active	Couch, Gregory Wayne	610038	Agent - Life	7/14/2023