DEPARTMENT OF INSURANCE

Affiliations

Name	Maltsbarger, Dawn M	DOIID	881822	NAIC NPN	17533107

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/29/2015	3/31/2023
Inactive	Non Resident	Agent	Casualty	9/15/2017	3/31/2023
Inactive	Non Resident	Agent	Property	9/15/2017	3/31/2023
Inactive	Non Resident	Agent	Life	6/29/2015	3/31/2023
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	3/31/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/16/2015	3/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/6/2015	3/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/11/2020	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/16/2015	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/16/2015	3/31/2023
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	9/30/2022	11/17/2022
Inactive	Allstate Indemnity Company	300778	Agent - Property	9/30/2022	11/17/2022
Inactive	Allstate Insurance Company	300773	Agent - Casualty	9/30/2022	11/17/2022
Inactive	Allstate Insurance Company	300773	Agent - Property	9/30/2022	11/17/2022
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/30/2022	11/17/2022
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/30/2022	11/17/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	9/30/2022	11/17/2022
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	9/30/2022	11/17/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	7/28/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	7/28/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/9/2020	11/11/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/9/2020	11/11/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/18/2018	7/17/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/18/2018	7/17/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/9/2019	11/24/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/9/2019	11/24/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/12/2020	12/2/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/12/2020	12/2/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/10/2016	3/31/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	3/31/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021	3/31/2023
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/5/2017	8/4/2020
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/5/2017	8/4/2020
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	12/5/2017	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	12/5/2017	12/13/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/13/2017	11/9/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/13/2017	11/9/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/16/2015	3/31/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/12/2020	12/2/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/12/2020	12/2/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/17/2020	3/31/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	9/17/2020	3/31/2023
Inactive	Grange Insurance Company	300234	Agent - Casualty	9/17/2020	3/31/2023
Inactive	Grange Insurance Company	300234	Agent - Property	9/17/2020	3/31/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/17/2020	3/31/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/17/2020	3/31/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/10/2015	1/12/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/10/2015	1/12/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/10/2015	1/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/10/2015	1/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	7/10/2015	1/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/10/2015	1/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/10/2015	1/12/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/10/2015	1/12/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	1/12/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/10/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/10/2015	10/22/2015
Inactive	Milbank Insurance Company	925185	Agent - Casualty	1/4/2021	3/9/2023
Inactive	Milbank Insurance Company	925185	Agent - Property	1/4/2021	3/9/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/16/2015	8/22/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	10/16/2015	11/22/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/16/2017	7/28/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/16/2017	7/28/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/16/2017	7/28/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/16/2017	7/28/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/31/2019	3/31/2023
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	4/6/2020	7/10/2020
Inactive	Spinnaker Insurance Company	300099	Agent - Property	4/6/2020	7/10/2020
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	9/17/2020	3/31/2023
Inactive	Trustgard Insurance Company	300104	Agent - Property	9/17/2020	3/31/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/16/2015	8/22/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/16/2015	8/22/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/2/2019	1/20/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/18/2017
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/2/2019	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/2/2019	1/20/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/31/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/2/2019	1/20/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/1/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/1/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/16/2019	11/25/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/16/2019	11/25/2020
Inactive	Matic Insurance Services Inc.	853271	Agent - Life	8/26/2020	2/17/2023
Inactive	Matic Insurance Services Inc.	853271	Agent - Property	8/26/2020	2/17/2023
Inactive	Matic Insurance Services Inc.	853271	Agent - Casualty	8/26/2020	2/17/2023
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Property	10/13/2017	7/15/2020
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Casualty	10/13/2017	7/15/2020