DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Diaz, Gina M	DOIID	1037654	NAIC NPN	17061555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/23/2019	11/30/2020
Inactive	Non Resident	Agent	Health	4/23/2019	11/30/2020
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	11/30/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/18/2019	11/30/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2019	11/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/18/2019	11/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/18/2019	11/30/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/9/2019	5/29/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	11/30/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	10/9/2019	5/29/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/9/2019	5/29/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/9/2019	5/29/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ensurem II LLC	908041	Agent - Life	6/18/2019	8/16/2019
Inactive	Ensurem II LLC	908041	Agent - Health	6/18/2019	8/16/2019