DEPARTMENT OF INSURANCE

Affiliations

Name	Hampton, Palma Dianne	DOIID	701281	NAIC NPN	9072131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/5/2018	1/31/2026
Active	Non Resident	Agent	Life	10/5/2018	1/31/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/28/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/28/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/7/2020	12/30/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/7/2020	12/30/2021
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	4/3/2009	1/13/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	4/3/2009	1/13/2010
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/26/2020	9/3/2020
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/6/2009	2/10/2010
Inactive	Pioneer American Insurance Company	301268	Agent - Health	3/31/2009	8/25/2009
Inactive	Pioneer American Insurance Company	301268	Agent - Life	3/31/2009	8/25/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/22/2018	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/22/2018	7/29/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Starmount Life Insurance Company	628031	Agent - Health	11/30/2018	7/29/2021
Active	Tier One Insurance Company	301056	Agent - Health	3/17/2023
Active	Tier One Insurance Company	301056	Agent - Life	3/17/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/22/2018	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/22/2018	7/29/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/6/2009	2/10/2010
Inactive	Unum Insurance Company	301499	Agent - Health	10/22/2018	7/29/2021
Inactive	Unum Insurance Company	301499	Agent - Life	10/22/2018	7/29/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/18/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/18/2019	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/22/2018	12/30/2021
Active	Optavise, LLC	671337	Agent - Health	10/22/2018