DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pine, Deanna	DOIID	728177	NAIC NPN	15136854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/12/2010	6/30/2012
Inactive	Non Resident	Agent	Health	5/12/2010	6/30/2012
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/11/2011	6/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/11/2011	6/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/11/2011	6/30/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/24/2010	6/30/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/24/2010	6/30/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/25/2011	6/29/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2010	6/29/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/30/2010	6/29/2011
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2010	6/29/2011
Inactive	Humana Insurance Company	301104	Agent - Life	8/16/2010	6/29/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2010	6/29/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2010	6/29/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/22/2011	6/29/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/22/2011	6/29/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/28/2010	3/15/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/28/2010	3/15/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/28/2010	3/15/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	6/28/2010	6/24/2011
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	6/28/2010	6/24/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/24/2010	6/30/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/24/2010	6/30/2012