DEPARTMENT OF INSURANCE

Affiliations

Name	Diaz, Andres E	DOIID	795793	NAIC NPN	16741215

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/24/2012	2/28/2018
Inactive	Non Resident	Agent	Life	10/24/2012	2/28/2018
* 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	1/2/2013	2/28/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/2/2013	2/28/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/2/2013	2/28/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	11/2/2012	2/28/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	11/2/2012	2/28/2018
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	1/21/2015	4/28/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/3/2014	6/30/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/3/2014	6/30/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/5/2014	8/28/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/5/2014	8/28/2015
Inactive	HCC Life Insurance Company	301827	Agent - Health	2/20/2015	7/1/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/23/2013	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2013	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/23/2013	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	10/23/2013	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/23/2013	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/23/2013	5/20/2014
Inactive	National Health Insurance Company	300554	Agent - Health	11/2/2014	7/24/2015
Inactive	National Health Insurance Company	300554	Agent - Life	11/2/2014	7/24/2015
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/27/2014	9/23/2015
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	2/4/2015	2/28/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	2/4/2015	2/28/2018
Inactive	Time Insurance Company	300683	Agent - Health	11/1/2012	10/21/2014
Inactive	Time Insurance Company	300683	Agent - Life	11/1/2012	10/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Quick Quote Us LLC	898361	Agent - Life
Denied	Quick Quote Us LLC	898361	Agent - Health