DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Diaz, Glenn A	DOIID	1114098	NAIC NPN	17944558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	12/17/2020	6/30/2024
Inactive	Non Resident	Agent	Health	5/24/2021	6/30/2024
* 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	7/8/2021	10/30/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/8/2021	10/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/8/2021	10/30/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/22/2021	9/17/2021
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	7/12/2022	12/19/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/8/2021	10/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	9/7/2022	12/19/2022
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	6/22/2021	10/30/2021