DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dibala Jr, Peter Gregory	DOIID	926503	NAIC NPN	8493797

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/20/2018		5/31/2026
Active	Non Resident	Agent	Health	4/20/2018		5/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/14/2016	6/7/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/14/2016	6/7/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/20/2016	6/7/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2016	6/7/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2016	6/7/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/14/2016	6/7/2017

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	9/13/2016	6/7/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/13/2016	6/7/2017
Denied	Velapoint LLC	721963	Agent - Life
Denied	Velapoint LLC	721963	Agent - Health