DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Daniel, Katie Atalaya	DOIID	891656	NAIC NPN	17693494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	3/7/2023		12/31/2024
Inactive	Non Resident	Agent	Health	3/23/2018	1/15/2020
Inactive	Non Resident	Agent	Life	3/23/2018	1/15/2020
Inactive	Non Resident	Staff Adjuster	Property & Casualty	2/13/2020	12/31/2022
* 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
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMFG Life Insurance Company	300929	Agent - Health	12/5/2018	5/6/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/5/2018	5/6/2019
Inactive	Continental American Insurance Company	301700	Agent - Health	10/18/2016	12/31/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/18/2016	12/31/2016
Active	Progressive Direct Insurance Company	301379	Agent - Personal Lines	3/14/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/30/2018	1/15/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/30/2018	1/15/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/30/2018	1/15/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/30/2018	1/15/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/30/2018	1/15/2020
Inactive	Unum Insurance Company	301499	Agent - Health	10/30/2018	1/15/2020
Inactive	Unum Insurance Company	301499	Agent - Life	10/30/2018	1/15/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/30/2018	1/15/2020
Inactive	Optavise, LLC	671337	Agent - Health	10/30/2018	1/15/2020