DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dahlquist, Bruce	DOIID	1061792	NAIC NPN	18957979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/19/2019	1/31/2022
Inactive	Non Resident	Agent	Life	10/19/2019	1/31/2022
* 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	8/19/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/30/2019	7/9/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/30/2019	7/9/2021
Inactive	American Republic Insurance Company	300861	Agent - Health	10/30/2019	7/29/2020
Inactive	American Republic Insurance Company	300861	Agent - Life	10/30/2019	7/29/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/30/2019	7/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Easy Health Inc.	1061796	Agent - Life	10/20/2019	3/29/2022
Inactive	Easy Health Inc.	1061796	Agent - Health	10/20/2019	3/29/2022