DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dilley, Gavin Jerome	DOIID	879141	NAIC NPN	17152074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/29/2015	1/31/2024
Inactive	Non Resident	Agent	Life	5/29/2015	1/31/2024
* 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	Continental American Insurance Company	301700	Agent - Health	8/24/2017	2/12/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	8/24/2017	2/12/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/30/2019	11/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/30/2019	11/30/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/21/2016	1/31/2024
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/21/2016	1/31/2024
Inactive	Starmount Life Insurance Company	628031	Agent - Health	9/13/2021	11/30/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/15/2020	1/31/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/15/2020	1/31/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/30/2019	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/30/2019	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Health	9/13/2021	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Life	9/13/2021	11/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure LLC	696181	Agent - Life	8/19/2022	10/26/2022
Inactive	Acrisure LLC	696181	Agent - Health	8/19/2022	10/26/2022