DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jean Mary, Mirlina Dorca	DOIID	1017169	NAIC NPN	18895614

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/29/2018	9/30/2021
Inactive	Non Resident	Agent	Health	10/29/2018	9/30/2021
* 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	9/24/2019	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/24/2019	7/9/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/1/2019	10/9/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/1/2019	10/9/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/7/2018	1/25/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/7/2018	1/25/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/1/2019	9/30/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/24/2019	7/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/7/2018	1/25/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/7/2018	1/25/2019