DEPARTMENT OF INSURANCE

Affiliations

Name	Diesman, Dustin John	DOIID	833209	NAIC NPN	17179645

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/6/2014	2/28/2025
Active	Non Resident	Agent	Life	2/6/2014	2/28/2025
* 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
Agent	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/27/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/21/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/27/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/21/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/21/2022
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	11/20/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	12/25/2015	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	12/25/2015	12/23/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/10/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/10/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/28/2017	7/24/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/28/2017	7/24/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/24/2015	4/8/2017
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/10/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/27/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/24/2015	4/8/2017
Active	EPIC Life Insurance Company	646171	Agent - Health	4/26/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	2/7/2017
Active	Golden Rule Insurance Company	301943	Agent - Life	2/7/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	11/19/2015	10/3/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/24/2015	6/8/2018
Active	Humana Insurance Company	301104	Agent - Health	10/24/2022
Inactive	Humana Insurance Company	301104	Agent - Life	9/4/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/24/2015	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/24/2015	4/8/2017
Inactive	Independence American Insurance Company	524747	Agent - Health	6/12/2017	12/18/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/24/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/24/2015	10/22/2015
Inactive	LifeShield National Insurance Company	737111	Agent - Health	1/24/2019	12/20/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/3/2021
Active	SilverScript Insurance Company	663526	Agent - Health	7/21/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/18/2018	12/7/2022
Inactive	Time Insurance Company	300683	Agent - Health	2/10/2014	6/16/2015
Inactive	Time Insurance Company	300683	Agent - Life	2/10/2014	6/16/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/21/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/21/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	9/28/2017
Active	Designated Agent Company Inc.	681257	Agent - Life	9/28/2017
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	4/22/2022
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/23/2018	4/22/2022