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DEPARTMENT OF INSURANCE
Affiliations
Name
Diaz, George
DOIID
304136
NAIC NPN
1165230
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Resident
Agent
Variable Life and Variable Annuities
Inactive
Resident
Agent
Life
3/2/2017
12/1/2018
Inactive
Resident
Agent
Health
3/2/2017
12/1/2018
Inactive
Resident
Agent
Casualty
9/15/2004
12/1/2012
Inactive
Resident
Agent
Property
9/15/2004
12/1/2012
Inactive
Resident
Agent
Health Maintenance Organization
5/6/1999
3/1/2001
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
4 Ever Life Insurance Company
301307
Agent - Health
6/10/2002
6/29/2004
Inactive
4 Ever Life Insurance Company
301307
Agent - Life
6/10/2002
6/29/2004
Inactive
All American Life Insurance Company
300702
Agent - Health
3/19/1997
10/15/2001
Inactive
All American Life Insurance Company
300702
Agent - Life
3/19/1997
10/15/2001
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
3/13/1996
9/28/2011
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
3/13/1996
9/28/2011
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Health
12/11/2002
9/20/2004
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Life
12/11/2002
9/20/2004
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
7/23/2001
6/28/2010
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
11/6/2008
12/29/2009
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
11/6/2008
12/29/2009
Inactive
American Fidelity Assurance Company
301004
Agent - Health
8/6/1997
12/31/1998
Inactive
American Fidelity Assurance Company
301004
Agent - Life
8/6/1997
12/31/1998
Inactive
American General Life Insurance Company
301585
Agent - Health
4/17/2017
12/1/2018
Inactive
American General Life Insurance Company
301585
Agent - Life
4/17/2017
12/1/2018
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
1/28/1998
6/23/2008
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
1/28/1998
6/23/2008
Inactive
Athene Annuity and Life Company
301893
Agent - Life
4/16/2015
12/29/2016
Inactive
BCS Insurance Company
300294
Agent - Health
6/10/2002
4/27/2004
Inactive
Banner Life Insurance Company
301696
Agent - Life
8/20/1997
10/14/2003
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
10/18/2013
12/1/2014
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
10/18/2013
12/1/2014
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
1/16/2009
12/1/2012
Inactive
CompBenefits Insurance Company
301864
Agent - Health
1/16/2009
12/1/2012
Inactive
CompBenefits Insurance Company
301864
Agent - Life
1/16/2009
12/1/2012
Inactive
Conseco Insurance Company
301202
Agent - Health
7/2/2004
12/29/2006
Inactive
Conseco Insurance Company
301202
Agent - Life
7/2/2004
12/29/2006
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
3/31/1995
3/9/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
3/31/1995
3/9/1998
Inactive
Continental American Insurance Company
301700
Agent - Health
11/18/2002
1/31/2005
Inactive
Continental American Insurance Company
301700
Agent - Life
11/18/2002
1/31/2005
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/31/2003
12/13/2006
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
12/1/2012
Inactive
Family Life Insurance Company
300356
Agent - Health
11/9/1995
10/15/1996
Inactive
Family Life Insurance Company
300356
Agent - Life
11/9/1995
10/15/1996
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
7/13/2001
10/17/2005
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
11/8/2000
12/23/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
11/8/2000
12/23/2008
Inactive
Freedom Life Insurance Company of America
300074
Agent - Health
5/15/1997
9/14/1998
Inactive
Freedom Life Insurance Company of America
300074
Agent - Life
5/15/1997
9/14/1998
Inactive
Gerber Life Insurance Company
300529
Agent - Health
4/25/2017
12/1/2018
Inactive
Gerber Life Insurance Company
300529
Agent - Life
4/25/2017
12/1/2018
Inactive
Golden Rule Insurance Company
301943
Agent - Health
11/10/2005
11/10/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
11/10/2005
11/10/2008
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
12/1/2012
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
5/6/1999
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
4/10/1997
12/1/2012
Inactive
Humana Insurance Company
301104
Agent - Life
4/10/1997
12/1/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/16/2009
12/1/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/16/2009
12/1/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Health
1/16/2009
2/22/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
1/16/2009
2/22/2012
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
2/11/2002
11/9/2009
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
2/11/2002
11/9/2009
Inactive
Independent Mutual Fire Insurance Company
300851
Agent - Casualty
1/16/2006
4/14/2006
Inactive
Independent Mutual Fire Insurance Company
300851
Agent - Property
1/16/2006
4/14/2006
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Health
5/19/1994
2/19/1999
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
5/19/1994
2/19/1999
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
11/16/1995
4/16/1999
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
11/16/1995
4/16/1999
Inactive
John Alden Life Insurance Company
300573
Agent - Health
2/16/2005
11/14/2006
Inactive
John Alden Life Insurance Company
300573
Agent - Life
2/16/2005
11/14/2006
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/11/2008
12/1/2012
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/11/2008
12/1/2012
Inactive
Keyport Life Insurance Company
300319
Agent - Life
7/8/2002
12/31/2003
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
11/14/2011
9/27/2012
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
11/14/2011
9/27/2012
Inactive
LifeUSA Insurance Company
300386
Agent - Health
3/13/1996
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
3/13/1996
8/2/2002
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
3/14/1996
10/29/2001
Inactive
Lumico Life Insurance Company
300354
Agent - Health
6/5/1996
3/31/1997
Inactive
Lumico Life Insurance Company
300354
Agent - Life
6/5/1996
3/31/1997
Inactive
Manhattan National Life Insurance Company
301011
Agent - Health
6/20/1997
4/9/2001
Inactive
Manhattan National Life Insurance Company
301011
Agent - Life
6/20/1997
4/9/2001
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
8/28/1996
12/1/2012
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
8/28/1996
12/1/2012
Inactive
Midland National Life Insurance Company
300923
Agent - Health
3/6/2000
7/23/2001
Inactive
Midland National Life Insurance Company
300923
Agent - Life
3/6/2000
7/23/2001
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
5/10/2006
1/3/2012
Inactive
National Western Life Insurance Company
301515
Agent - Health
3/15/1996
8/2/1999
Inactive
National Western Life Insurance Company
301515
Agent - Life
3/15/1996
8/2/1999
Inactive
Nationwide General Insurance Company
300603
Agent - Casualty
5/20/2005
12/11/2008
Inactive
Nationwide General Insurance Company
300603
Agent - Property
5/20/2005
12/11/2008
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
9/16/2004
4/11/2005
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
9/16/2004
4/11/2005
Denied
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/12/2004
4/11/2005
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Casualty
9/16/2004
4/11/2005
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Property
9/16/2004
4/11/2005
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
9/16/2004
4/11/2005
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
9/16/2004
4/11/2005
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Casualty
9/16/2004
4/11/2005
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Property
9/16/2004
4/11/2005
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
4/25/2015
11/30/2016
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
3/18/2008
12/5/2008
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Life
3/18/2008
12/5/2008
Inactive
Protective Life Insurance Company
300638
Agent - Health
11/5/1997
12/30/2008
Inactive
Protective Life Insurance Company
300638
Agent - Life
11/5/1997
12/30/2008
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
8/8/2007
12/1/2012
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
8/8/2007
12/1/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
3/4/2009
12/1/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
3/4/2009
12/1/2012
Inactive
ReliaStar Life Insurance Company of New York
301018
Agent - Health
3/14/1998
6/25/2008
Inactive
ReliaStar Life Insurance Company of New York
301018
Agent - Life
3/14/1998
6/25/2008
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Health
5/1/2008
11/12/2012
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
5/1/2008
11/12/2012
Inactive
Security Life Insurance Company of America
300936
Agent - Health
7/18/1996
2/5/2002
Inactive
Security Life Insurance Company of America
300936
Agent - Life
7/18/1996
2/5/2002
Inactive
Time Insurance Company
300683
Agent - Health
5/1/2001
10/17/2011
Inactive
Time Insurance Company
300683
Agent - Life
5/1/2001
10/17/2011
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
3/4/2004
3/8/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
3/4/2004
3/8/2005
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
1/16/2006
4/14/2006
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
1/16/2006
4/14/2006
Inactive
Trustmark Insurance Company
300317
Agent - Health
4/10/2000
9/24/2003
Inactive
Trustmark Insurance Company
300317
Agent - Life
4/10/2000
9/24/2003
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
8/8/2007
12/1/2012
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
8/8/2007
12/1/2012
Inactive
United Teacher Associates Insurance Company
300747
Agent - Health
2/24/1998
1/8/2003
Inactive
United Teacher Associates Insurance Company
300747
Agent - Life
2/24/1998
1/8/2003
Inactive
United World Life Insurance Company
300532
Agent - Health
5/10/2006
12/15/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/10/2006
1/3/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
5/10/2006
1/3/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
3/18/2008
12/5/2008
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
3/18/2008
12/5/2008
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
5/16/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
5/16/1995
3/31/1997
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
3/21/2005
12/12/2006
Inactive
Wilco Life Insurance Company
300122
Agent - Life
5/25/1999
7/11/2001
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Planchoice Inc.
400482
Agent - Life
3/5/2003
12/1/2012
Inactive
Planchoice Inc.
400482
Agent - Health
3/5/2003
12/1/2012
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