DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dalziel, Douglas Collin	DOIID	616613	NAIC NPN	2486720

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/28/2005		9/30/2025
Active	Non Resident	Agent	Health	9/28/2005		9/30/2025
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	1/4/2024
Active	All Savers Insurance Company	301940	Agent - Life	1/4/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/27/2005	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/27/2005	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/4/2015	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/4/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/4/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/4/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/4/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/4/2015	10/22/2015
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	4/29/2019
Active	United World Life Insurance Company	300532	Agent - Health	4/29/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/29/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/29/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/4/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	1/4/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/4/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/4/2024

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 - Health	12/27/2005	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/27/2005	6/21/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008
Inactive	Lincoln Ins Services	749714	Agent - Health	3/10/2011	3/31/2019
Inactive	Lincoln Ins Services	749714	Agent - Life	3/10/2011	3/31/2019
Active	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Health	9/16/2014
Active	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Life	9/16/2014
Inactive	Medlink Inc	400721	Agent - Health	2/6/2008	3/31/2024
Inactive	Medlink Inc	400721	Agent - Life	2/6/2008	3/31/2024