DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dalziel, Douglas Collin	DOIID	616613	NAIC NPN	2486720

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/28/2005	9/30/2025
Inactive	Non Resident	Agent	Life	9/28/2005	9/30/2025
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	All Savers Insurance Company	301940	Agent - Health	1/4/2024	9/30/2025
Inactive	All Savers Insurance Company	301940	Agent - Life	1/4/2024	9/30/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025	9/30/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/27/2005	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/27/2005	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/4/2015	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/4/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/4/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/4/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/4/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/4/2015	10/22/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/29/2019	10/31/2025
Inactive	United World Life Insurance Company	300532	Agent - Health	4/29/2019	10/31/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/29/2019	10/31/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/29/2019	10/31/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/4/2024	9/30/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/4/2024	9/30/2025
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/4/2024	9/30/2025
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/4/2024	9/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/27/2005	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/27/2005	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	9/30/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	9/30/2025
Inactive	Lincoln Ins Services	749714	Agent - Health	3/10/2011	3/31/2019
Inactive	Lincoln Ins Services	749714	Agent - Life	3/10/2011	3/31/2019
Inactive	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Health	9/16/2014	9/30/2025
Inactive	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Life	9/16/2014	9/30/2025
Inactive	Medlink Inc	400721	Agent - Health	2/6/2008	3/31/2024
Inactive	Medlink Inc	400721	Agent - Life	2/6/2008	3/31/2024