DEPARTMENT OF INSURANCE

Affiliations

Name	Groswald, Diane Rothschild	DOIID	370395	NAIC NPN	548150

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/28/2019	10/31/2023
Inactive	Non Resident	Agent	Life	8/28/2019	10/31/2023
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	11/6/2019	10/31/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/6/2019	10/31/2023
Inactive	C.M. Life Insurance Company	301335	Agent - Health	6/28/2005	10/31/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Life	6/28/2005	10/31/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/4/2005	12/12/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/4/2005	12/12/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/24/2010	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/24/2010	4/18/2012
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	4/4/2005	12/12/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/28/2005	10/31/2009
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/28/2005	10/31/2009
Inactive	Nassau Life Insurance Company	301406	Agent - Health	4/16/1997	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	4/16/1997	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Health	10/28/1998	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	10/28/1998	2/13/2004
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	1/12/1999	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	1/12/1999	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/8/2008	10/31/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/8/2008	10/31/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	10/31/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	10/31/2009
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	3/21/2000	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/21/2000	10/1/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/8/2008	10/31/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/8/2008	10/31/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/10/2012	4/14/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/10/2012	4/14/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/27/1999	5/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/27/1999	5/10/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	10/31/2009
Inactive	Medlink Inc	400721	Agent - Life	2/20/2009	10/31/2009
Inactive	Medlink Inc	400721	Agent - Health	2/20/2009	10/31/2009