PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NamePolk, Dana BrettDOIID302005NAIC NPN766750
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentLife1/20/2023 5/31/2025
Pending ReplacementNon ResidentAgentHealth1/20/2023 5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health2/20/202311/17/2023
Pending ReplacementAccendo Insurance Company300312Agent - Life2/20/2023 
Pending ReplacementAetna Health and Life Insurance Company300523Agent - Health2/20/2023 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health1/28/2025 
Pending ReplacementAetna Life Insurance Company301140Agent - Health1/28/2025 
InactiveAmerican Fidelity Assurance Company301004Agent - Health3/15/200412/22/2004
InactiveAmerican Fidelity Assurance Company301004Agent - Life3/15/200412/22/2004
InactiveAmerican General Assurance Company300586Agent - Health9/26/20075/31/2011
InactiveAmerican General Assurance Company300586Agent - Life9/26/20075/31/2011
InactiveAmerican General Life Insurance Company301585Agent - Health2/21/20236/24/2024
InactiveAmerican General Life Insurance Company301585Agent - Life2/21/20236/24/2024
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health11/16/20075/31/2011
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life11/16/20075/31/2011
InactiveArcadian Health Plan, Inc.728196Agent - Health10/11/20173/7/2018
InactiveBoston Mutual Life Insurance Company300143Agent - Health1/27/20105/31/2011
InactiveBoston Mutual Life Insurance Company300143Agent - Life1/27/20105/31/2011
InactiveCombined Insurance Company of America301472Agent - Health12/10/20071/19/2010
InactiveCombined Insurance Company of America301472Agent - Life12/10/20071/19/2010
InactiveCompBenefits Dental, Inc.591692Agent - Health10/14/20143/7/2018
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health2/20/2023 
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life2/20/2023 
InactiveDental Concern Inc. (The)301641Agent - Health10/14/20143/7/2018
InactiveHM Life Insurance Company301408Agent - Health1/9/20085/31/2011
InactiveHM Life Insurance Company301408Agent - Life1/9/20085/31/2011
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/6/20143/7/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/14/20142/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health10/14/20143/7/2018
InactiveHumana Insurance Company301104Agent - Health9/20/20184/29/2019
InactiveHumana Insurance Company301104Agent - Life9/20/20184/29/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/14/20143/7/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/14/20143/7/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health11/6/20143/7/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20163/7/2018
InactiveKanawha Insurance Company300127Agent - Health10/14/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life10/14/201410/22/2015
Pending ReplacementMolina Healthcare of Kentucky, Inc.1035856Agent - Health12/19/2024 
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/4/20075/31/2011
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/4/20075/31/2011
Pending ReplacementSilverScript Insurance Company663526Agent - Health1/28/2025 
InactiveStonebridge Life Insurance Company301614Agent - Health4/7/19972/13/1998
InactiveStonebridge Life Insurance Company301614Agent - Life4/7/19972/13/1998
InactiveTransamerica Assurance Company300893Agent - Health9/11/200310/1/2004
InactiveTransamerica Assurance Company300893Agent - Life9/11/200310/1/2004
InactiveTransamerica Life Insurance Company300571Agent - Health5/17/20045/31/2005
InactiveTransamerica Life Insurance Company300571Agent - Life5/17/20045/31/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health9/11/20035/31/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life9/11/20035/31/2005
InactiveUNUM Life Insurance Company of America300817Agent - Health10/4/20075/31/2011
InactiveUNUM Life Insurance Company of America300817Agent - Life10/4/20075/31/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana MarketPOINT Inc.398092Agent - Health11/21/20173/7/2018

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