DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Capuano, Donna Jean	DOIID	930278	NAIC NPN	17080245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/22/2016	1/31/2022
Inactive	Non Resident	Agent	Life	9/22/2016	1/31/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/3/2020	8/14/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/3/2020	8/14/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/3/2020	8/14/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/28/2018	1/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/28/2018	1/31/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/24/2017	3/3/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/24/2017	3/3/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/12/2018	2/24/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	2/24/2022