DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dapelo, Annemarie	DOIID	1140833	NAIC NPN	9085124

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/21/2021		6/30/2027
Active	Non Resident	Agent	Life	6/21/2021		6/30/2027
* 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	04/16/2025	04/16/2025	Yes

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	6/25/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/25/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/25/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	8/2/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/2/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/25/2021
Active	Starmount Life Insurance Company	628031	Agent - Health	8/2/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/2/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/2/2024
Active	Unum Insurance Company	301499	Agent - Health	8/2/2024
Active	Unum Insurance Company	301499	Agent - Life	8/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custom Benefit Programs Inc	630774	Agent - Life	2/16/2022	7/23/2024
Active	Custom Benefit Programs Inc	630774	Agent - Health	2/16/2022