DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Donna J	DOIID	389545	NAIC NPN	1273148

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	4/2/2015	11/30/2020
Inactive	Non Resident	Agent	Health	2/19/2015	11/30/2020
* 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	Westport Insurance Corporation	301875	Agent - Health	10/20/1999	11/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lumico Life Ins Co (TPA)	1071674	Administrator - Not Applicable	1/31/2020	11/9/2020
Inactive	Swiss Re Life & Health America Inc	627077	Administrator - Not Applicable	4/10/2015	11/9/2020