DEPARTMENT OF INSURANCE
Affiliations
NameSurface, Scott DienerDOIID307790NAIC NPN1464608
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/9/2002 2/28/2026
ActiveNon ResidentAgentLife8/9/2002 2/28/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health8/9/2017 
ActiveAetna Health and Life Insurance Company300523Agent - Health1/31/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/9/2017 
ActiveAetna Life Insurance Company301140Agent - Life8/9/2017 
ActiveAllianz Life Insurance Company of North America301791Agent - Life8/3/2021 
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life9/16/2020 
InactiveAmerican Franklin Life Insurance Company (The)301025Agent - Health3/12/199612/18/2000
InactiveAmerican Franklin Life Insurance Company (The)301025Agent - Life3/12/199612/18/2000
ActiveAmerican National Insurance Company301861Agent - Life6/23/2020 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/2021 
ActiveAnthem Life Insurance Company301209Agent - Health8/9/2002 
ActiveAnthem Life Insurance Company301209Agent - Life8/9/2002 
InactiveAthene Annuity and Life Company301893Agent - Life9/19/20083/2/2011
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/14/2019 
InactiveCompBenefits Dental, Inc.591692Agent - Health6/17/201412/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health12/15/200911/23/2011
InactiveCompBenefits Insurance Company301864Agent - Life12/15/200911/23/2011
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/10/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life2/22/2021 
InactiveDental Concern Inc. (The)301641Agent - Health6/17/201412/8/2015
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/9/2024 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health12/10/2010 
InactiveForethought Life Insurance Company301407Agent - Health2/20/201312/29/2016
InactiveFranklin Life Insurance Company (The)300779Agent - Health2/20/199612/18/2000
InactiveFranklin Life Insurance Company (The)300779Agent - Life2/20/199612/18/2000
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health10/6/201412/28/2016
InactiveGenworth Life Insurance Company300623Agent - Health6/30/201012/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life6/30/201012/7/2012
ActiveGerber Life Insurance Company300529Agent - Health2/8/2017 
ActiveGerber Life Insurance Company300529Agent - Life2/8/2017 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health4/12/20112/19/2015
InactiveGuarantee Trust Life Insurance Company301043Agent - Life4/12/20112/19/2015
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20144/29/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/17/20142/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health6/17/20146/15/2018
ActiveHumana Insurance Company301104Agent - Health10/30/2019 
InactiveHumana Insurance Company301104Agent - Life6/17/20144/29/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/17/20146/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/17/20146/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20146/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20166/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health2/7/20082/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life2/7/20082/23/2012
InactiveIndianapolis Life Insurance Company301381Agent - Life8/7/200710/1/2008
InactiveKanawha Insurance Company300127Agent - Health6/17/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/17/201410/22/2015
InactiveMedico Corp Life Insurance Company301777Agent - Health11/30/20163/15/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life11/30/20163/15/2018
ActiveMedico Insurance Company301559Agent - Health7/10/2023 
ActiveMedico Insurance Company301559Agent - Life7/10/2023 
InactiveMutual of Omaha Insurance Company301012Agent - Health7/22/201012/26/2012
ActiveNorth American Company for Life and Health Insurance300291Agent - Life5/19/2020 
InactivePHL Variable Insurance Company300525Agent - Life1/5/201712/4/2020
InactivePacifiCare Life and Health Insurance Company301304Agent - Health2/2/200611/4/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life2/2/20067/17/2012
ActiveSilverScript Insurance Company663526Agent - Health10/29/2018 
InactiveStandard Life and Accident Insurance Company301534Agent - Health2/1/20079/1/2014
InactiveStandard Life and Accident Insurance Company301534Agent - Life2/1/20079/1/2014
InactiveState Life Insurance Company301497Agent - Health7/11/20106/7/2023
InactiveState Life Insurance Company301497Agent - Life7/11/20106/7/2023
InactiveTime Insurance Company300683Agent - Health3/1/200712/29/2008
InactiveTime Insurance Company300683Agent - Life3/1/200712/29/2008
ActiveUnited Home Life Insurance Company300421Agent - Life2/9/2021 
InactiveUnited World Life Insurance Company300532Agent - Health7/9/201911/23/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/10/20173/22/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/10/20173/22/2018
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/16/2020 
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/8/20093/20/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/20/2017
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health4/16/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/16/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/16/2020 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/30/2021
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Health7/28/20084/29/2010
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/7/2019 
ActiveWellpoint Life and Health Insurance Company300469Agent - Health8/2/2007 
ActiveWellpoint Life and Health Insurance Company300469Agent - Life8/2/2007 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life8/27/20026/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/27/20026/23/2008
ActiveDesignated Agent Company Inc.681257Agent - Life6/30/2008 
ActiveDesignated Agent Company Inc.681257Agent - Health6/30/2008 
ActiveSurface Financial Grp Inc846737Agent - Life7/29/2014 
ActiveSurface Financial Grp Inc846737Agent - Health7/29/2014 

© Commonwealth of Kentucky. All rights reserved.