DEPARTMENT OF INSURANCE

Affiliations

Name	Dietrich, John Raymond	DOIID	1005093	NAIC NPN	7849249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/30/2022	6/30/2025
Active	Non Resident	Agent	Life	9/30/2022	6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/11/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/11/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/11/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/23/2018	6/30/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/23/2018	12/10/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/12/2018	5/1/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/12/2018	5/1/2019
Inactive	Continental American Insurance Company	301700	Agent - Health	3/30/2023	10/11/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	3/30/2023	10/11/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/23/2018	12/10/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/23/2018	6/30/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/14/2018	6/30/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/14/2018	6/30/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/23/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/23/2018	12/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/23/2018	12/10/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/24/2018	12/22/2020
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/20/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/20/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/11/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	10/20/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/20/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/20/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/15/2018	5/2/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/15/2018	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/15/2018	5/2/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/15/2018	5/2/2019
Active	Unum Insurance Company	301499	Agent - Health	10/20/2022
Active	Unum Insurance Company	301499	Agent - Life	10/20/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/26/2018	4/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	8/31/2018	6/4/2019
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	8/31/2018	6/4/2019