DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Perera, Damian A	DOIID	780500	NAIC NPN	15649985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/30/2012	4/30/2020
Inactive	Non Resident	Agent	Life	4/30/2012	4/30/2020
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/30/2012	4/30/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/30/2012	4/30/2020
Inactive	HCC Life Insurance Company	301827	Agent - Health	9/11/2015	10/3/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/13/2018	4/30/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/13/2018	4/30/2020