DEPARTMENT OF INSURANCE

Affiliations

Name	Osborn, Diane R	DOIID	1111351	NAIC NPN	1249212

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/19/2020	10/31/2024
Active	Non Resident	Agent	Health	11/19/2020	10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	5/24/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/24/2021	8/22/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/24/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/24/2021	8/22/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/24/2021	8/22/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/26/2021	2/26/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	2/26/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	2/26/2022
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/6/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/6/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	2/26/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/24/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/24/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/27/2020	2/8/2024
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/23/2020
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	11/23/2020
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/7/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/7/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/24/2021	8/22/2021
Active	Starmount Life Insurance Company	628031	Agent - Health	4/7/2023
Active	Trustmark Insurance Company	300317	Agent - Health	2/18/2021
Active	Trustmark Insurance Company	300317	Agent - Life	2/18/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Health	4/7/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	4/7/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/30/2021	8/2/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/30/2021	8/2/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/30/2021	8/2/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/30/2021	8/2/2021
Active	Unum Insurance Company	301499	Agent - Health	4/7/2023
Active	Unum Insurance Company	301499	Agent - Life	4/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forum Benefits, LLC	1115625	Agent - Life	12/20/2022	2/15/2023
Inactive	Forum Benefits, LLC	1115625	Agent - Health	12/20/2022	2/15/2023
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	6/7/2021	11/27/2023