DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dibello, Thomas	DOIID	621110	NAIC NPN	21472

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/25/2021		7/31/2024
Active	Non Resident	Agent	Life	10/25/2021		7/31/2024
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	4/25/2022
Active	American General Life Insurance Company	301585	Agent - Life	4/25/2022
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/5/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/1/2021	4/26/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/1/2021	4/26/2022
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	3/2/2006	7/31/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	3/2/2006	7/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/1/2021	4/26/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/1/2021	4/26/2022