black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID MICHAEL DIETZ

PRODUCER NON-RESIDENT

License Number:
PRN472650
Status:
First Licensure:
12/22/2023
Cancel Date:
None

Mailing:
GILBERT, AZ 85234
Phone:
+1 (312) 648-0914
Fax:
+1 (312) 648-5511
Email:
bandrade@eiia.org

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/22/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS INC
01/24/2025 AGN57785

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALL SAVERS INSURANCE COMPANY
02/05/2025 LHF233900
UNITEDHEALTHCARE INSURANCE COMPANY
02/05/2025 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
02/05/2025 HMF393375

Authority

Description Issue Date Termination Date Status
CASUALTY 12/22/2023 Active
HEALTH 11/24/2024 Active
PROPERTY 12/22/2023 Active
SURPLUS LINES 12/22/2023 Active

Responsible For

Name License Number
EDUCATIONAL & INSTITUTIONAL INSURANCE ADMINISTRATORS INC AGN57785

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20788781

Other Addresses

Address Type
200 S WACKER DR STE 1325
CHICAGO, IL 60606-5860
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 01/27/2026 08:00:02 AM