DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Divine, Daniel A	DOIID	859700	NAIC NPN	1826122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/11/2015	3/31/2017
Inactive	Non Resident	Agent	Life	11/5/2014	3/31/2017
* 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	Brighthouse Life Insurance Company	301829	Agent - Life	12/8/2014	3/31/2017
Inactive	C.M. Life Insurance Company	301335	Agent - Life	2/18/2016	3/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/12/2015	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/12/2015	12/13/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/12/2015	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/12/2015	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/12/2015	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2015	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/12/2015	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/12/2015	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/12/2015	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/12/2015	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/12/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/12/2015	10/22/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/18/2015	3/31/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/18/2015	3/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	4/11/2016	3/31/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/11/2016	3/31/2017