DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dalinis, Jennie M	DOIID	912020	NAIC NPN	4573965

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/7/2016	10/31/2018
Inactive	Non Resident	Agent	Property	4/7/2016	10/31/2018
Inactive	Non Resident	Agent	Life	4/7/2016	10/31/2018
Inactive	Non Resident	Agent	Health	4/7/2016	10/31/2018
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/30/2018	11/6/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/30/2018	11/6/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Applied Ins Solutions LLC	907061	Agent - Life	9/7/2017	10/31/2018
Inactive	Applied Ins Solutions LLC	907061	Agent - Health	9/7/2017	10/31/2018
Inactive	Applied Ins Solutions LLC	907061	Agent - Property	9/7/2017	10/31/2018
Inactive	Applied Ins Solutions LLC	907061	Agent - Casualty	9/7/2017	10/31/2018