DEPARTMENT OF INSURANCE

Affiliations

Name	Polk, Dana Brett	DOIID	302005	NAIC NPN	766750

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	1/20/2023	5/31/2025
Pending Replacement	Non Resident	Agent	Health	1/20/2023	5/31/2025
* 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	Accendo Insurance Company	300312	Agent - Health	2/20/2023	11/17/2023
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	2/20/2023
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	2/20/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/28/2025
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	1/28/2025
Inactive	American Fidelity Assurance Company	301004	Agent - Health	3/15/2004	12/22/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Life	3/15/2004	12/22/2004
Inactive	American General Assurance Company	300586	Agent - Health	9/26/2007	5/31/2011
Inactive	American General Assurance Company	300586	Agent - Life	9/26/2007	5/31/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	2/21/2023	6/24/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	2/21/2023	6/24/2024
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	11/16/2007	5/31/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	11/16/2007	5/31/2011
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/11/2017	3/7/2018
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	1/27/2010	5/31/2011
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	1/27/2010	5/31/2011
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/10/2007	1/19/2010
Inactive	Combined Insurance Company of America	301472	Agent - Life	12/10/2007	1/19/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/14/2014	3/7/2018
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/20/2023
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/20/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/14/2014	3/7/2018
Inactive	HM Life Insurance Company	301408	Agent - Health	1/9/2008	5/31/2011
Inactive	HM Life Insurance Company	301408	Agent - Life	1/9/2008	5/31/2011
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/6/2014	3/7/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/14/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/14/2014	3/7/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/20/2018	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Life	9/20/2018	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/14/2014	3/7/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/14/2014	3/7/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/6/2014	3/7/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	3/7/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/14/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/14/2014	10/22/2015
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/19/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/4/2007	5/31/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/4/2007	5/31/2011
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	1/28/2025
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/7/1997	2/13/1998
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/7/1997	2/13/1998
Inactive	Transamerica Assurance Company	300893	Agent - Health	9/11/2003	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	9/11/2003	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/17/2004	5/31/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/17/2004	5/31/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/11/2003	5/31/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/11/2003	5/31/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/4/2007	5/31/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/4/2007	5/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	11/21/2017	3/7/2018