DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Disomma, Joseph R	DOIID	794292	NAIC NPN	16591968

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Life
Inactive	Non Resident	Agent	Health	1/3/2019	8/31/2020
* 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	AXIS Insurance Company	301290	Agent - Health	6/17/2019	8/31/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	12/21/2012	8/31/2014
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	12/21/2012	8/31/2014
Inactive	Aspen American Insurance Company	301513	Agent - Health	6/26/2019	8/31/2020
Inactive	Federal Insurance Company	301144	Agent - Health	3/18/2019	8/31/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	2/26/2013	10/9/2014
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	2/26/2013	10/9/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/12/2020	9/9/2020
Inactive	LifeShield National Insurance Company	737111	Agent - Health	2/5/2019	8/31/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/12/2012	8/31/2014
Inactive	Time Insurance Company	300683	Agent - Health	2/4/2013	2/1/2014
Inactive	Time Insurance Company	300683	Agent - Life	2/4/2013	2/1/2014
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/20/2012	8/31/2014

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 - Health	2/18/2019	8/31/2020