DEPARTMENT OF INSURANCE

Affiliations

Name	Hampton, Palma Dianne	DOIID	701281	NAIC NPN	9072131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/5/2018	1/31/2026
Active	Non Resident	Agent	Life	10/5/2018	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/28/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/28/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/7/2020	12/30/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/7/2020	12/30/2021
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	4/3/2009	1/13/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	4/3/2009	1/13/2010
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/26/2020	9/3/2020
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/6/2009	2/10/2010
Inactive	Pioneer American Insurance Company	301268	Agent - Health	3/31/2009	8/25/2009
Inactive	Pioneer American Insurance Company	301268	Agent - Life	3/31/2009	8/25/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/22/2018	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/22/2018	7/29/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Starmount Life Insurance Company	628031	Agent - Health	11/30/2018	7/29/2021
Active	Tier One Insurance Company	301056	Agent - Health	3/17/2023
Active	Tier One Insurance Company	301056	Agent - Life	3/17/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/22/2018	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/22/2018	7/29/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/6/2009	2/10/2010
Inactive	Unum Insurance Company	301499	Agent - Health	10/22/2018	7/29/2021
Inactive	Unum Insurance Company	301499	Agent - Life	10/22/2018	7/29/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/18/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/18/2019	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/22/2018	12/30/2021
Active	Optavise, LLC	671337	Agent - Health	10/22/2018