DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Velazquez, Diana I	DOIID	937825	NAIC NPN	17377912

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/22/2016		7/31/2027
Active	Non Resident	Agent	Life	11/22/2016		7/31/2027
* 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	05/15/2025	07/31/2025	06/10/2025	06/10/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/1/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/1/2019
Active	CMFG Life Insurance Company	300929	Agent - Life	2/23/2024
Active	Tier One Insurance Company	301056	Agent - Health	2/14/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	5/1/2019
Active	Sutherland Global Services Inc	601788	Agent - Health	5/1/2019