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.

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