DEPARTMENT OF INSURANCE

Affiliations

Name	Pantalone, Jo A	DOIID	360158	NAIC NPN	1018290

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/9/1999	12/31/2026
Active	Non Resident	Agent	Life	7/9/1999	12/31/2026
* 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	American Fidelity Assurance Company	301004	Agent - Health	11/1/2004	8/22/2018
Inactive	American Fidelity Assurance Company	301004	Agent - Life	11/1/2004	8/22/2018
Inactive	American General Assurance Company	300586	Agent - Health	9/9/2004	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	9/9/2004	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	10/4/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	10/4/2016
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/22/2001
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/22/2001
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	11/5/1999	10/31/2003
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	11/9/2001
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	11/9/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/22/2011	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/22/2011	12/19/2019
Inactive	HM Life Insurance Company	301408	Agent - Health	6/3/2008	12/29/2016
Inactive	HM Life Insurance Company	301408	Agent - Life	6/3/2008	12/29/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/22/2011	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	12/22/2011	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	12/22/2011	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/22/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/22/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/22/2011	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/22/2011	1/22/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	6/22/2001	9/13/2007
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	7/9/1999
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	7/9/1999
Active	ReliaStar Life Insurance Company	301712	Agent - Health	2/10/2000
Active	ReliaStar Life Insurance Company	301712	Agent - Life	2/10/2000
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	2/10/2000	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	2/10/2000	6/25/2008
Active	Starmount Life Insurance Company	628031	Agent - Health	3/25/2022
Inactive	Transamerica Assurance Company	300893	Agent - Health	2/27/2003	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	2/27/2003	10/1/2004
Active	Transamerica Life Insurance Company	300571	Agent - Health	5/14/2004
Active	Transamerica Life Insurance Company	300571	Agent - Life	5/14/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	2/27/2003	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	2/27/2003	10/1/2008
Active	UNUM Life Insurance Company of America	300817	Agent - Health	12/29/2008
Active	UNUM Life Insurance Company of America	300817	Agent - Life	12/29/2008
Active	Unum Insurance Company	301499	Agent - Health	3/25/2022
Active	Unum Insurance Company	301499	Agent - Life	3/25/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/24/2022
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/24/2022