DEPARTMENT OF INSURANCE

Affiliations

Name	Dragomir, Dale L	DOIID	711197	NAIC NPN	14677330

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	8/24/2009	4/30/2026
Active	Resident	Agent	Life	6/22/2010	4/30/2026
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/24/2009
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/22/2010
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/8/2014	5/28/2024
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/6/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	1/11/2018	2/12/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	1/11/2018	2/12/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/24/2014	8/14/2015
Inactive	Continental American Insurance Company	301700	Agent - Health	7/11/2012	6/13/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	7/11/2012	6/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/24/2014	8/14/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/16/2014	12/14/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/24/2014	8/14/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/24/2014	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Health	4/24/2014	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	4/24/2014	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/24/2014	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/24/2014	8/14/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/24/2014	8/14/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/24/2014	8/14/2015
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	2/4/2014	2/12/2015
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	2/4/2014	2/12/2015
Active	Principal National Life Insurance Company	301926	Agent - Life	10/14/2014
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/23/2014	11/23/2015
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/23/2014	11/23/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/15/2014	12/22/2016
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	10/3/2013	12/18/2015
Active	Transamerica Life Insurance Company	300571	Agent - Health	3/22/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	3/22/2023
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	5/8/2012	11/20/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CIG, LLC	864098	Agent - Health	12/29/2014	3/31/2020
Inactive	CIG, LLC	864098	Agent - Life	12/29/2014	3/31/2020
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Health	10/9/2013	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Life	10/9/2013	7/21/2014
Inactive	Medlink Inc	400721	Agent - Health	2/17/2014	3/31/2024
Inactive	Medlink Inc	400721	Agent - Life	2/17/2014	3/31/2024
Active	Planchoice Inc.	400482	Agent - Health	4/1/2015
Active	Planchoice Inc.	400482	Agent - Life	4/1/2015