DEPARTMENT OF INSURANCE

Affiliations

Name	Gaither, Diane Louise	DOIID	819422	NAIC NPN	1329300

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/16/2014	9/30/2020
Active	Non Resident	Independent Adjuster	Property & Casualty	12/12/2022		9/30/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	10/31/2021	12/12/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	07/15/2024	09/30/2024	07/02/2024	07/02/2024	Yes

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	2/3/2015	9/30/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/26/2016	9/30/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020	9/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/3/2015	9/30/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	10/30/2018	11/11/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	10/30/2018	11/11/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	8/19/2015	9/30/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/6/2014	9/30/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/11/2018	12/11/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/3/2015	9/30/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/6/2014	9/30/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/2/2015	9/30/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/26/2016	4/20/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/26/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/26/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/26/2016	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/26/2016	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/26/2016	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/6/2014	9/30/2014
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/20/2019	9/30/2020
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	9/16/2013	9/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	1/11/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/25/2013	6/27/2014