DEPARTMENT OF INSURANCE

Affiliations

Name	Wisniewski, Diana	DOIID	771670	NAIC NPN	11295353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/29/2011	11/10/2016
Inactive	Non Resident	Agent	Health	1/11/2012	11/10/2016
* 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	2/13/2012	11/10/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/13/2012	11/10/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/13/2012	11/10/2016
Inactive	American Continental Insurance Company	643130	Agent - Health	8/9/2012	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	8/9/2012	11/11/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/21/2014	11/10/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/21/2014	11/10/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/17/2012	12/8/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/9/2012	11/10/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/9/2012	11/10/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/11/2014	11/10/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/21/2012	12/8/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/25/2014	11/10/2016
Inactive	Forethought Life Insurance Company	301407	Agent - Health	11/26/2013	11/14/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/24/2014	11/10/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/24/2014	11/10/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/17/2012	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	2/17/2012	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/17/2012	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/17/2012	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/17/2012	12/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/17/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/17/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/20/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/20/2012	10/22/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/12/2012	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	7/10/2012	5/22/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/18/2014	11/10/2016
Inactive	Time Insurance Company	300683	Agent - Health	10/1/2014	11/10/2016
Inactive	Time Insurance Company	300683	Agent - Life	10/1/2014	11/10/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/12/2012	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/12/2012	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/21/2014	11/10/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/21/2014	11/10/2016