DEPARTMENT OF INSURANCE

Affiliations

Name	Dicken, John Hawkins	DOIID	329928	NAIC NPN	1497188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/22/1961	7/1/2006
Inactive	Resident	Agent	Health Maintenance Organization	4/1/1985	3/1/2001
Inactive	Resident	Agent	Life	6/22/1961	7/1/2006
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	7/1/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	7/2/1993	12/1/2000
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/2/1989	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/10/1993	12/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/10/1993	12/31/1998
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	7/2/2001	11/1/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	7/2/2001	11/1/2005
Inactive	Banner Life Insurance Company	301696	Agent - Health	6/17/1998	7/1/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/17/1998	7/1/2006
Inactive	Berkshire Life Insurance Company	301158	Agent - Health	10/19/1999	7/1/2001
Inactive	Berkshire Life Insurance Company	301158	Agent - Life	10/19/1999	7/1/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	7/1/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	7/1/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Health	6/20/2000	7/5/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	6/20/2000	7/5/2006
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	11/29/2004
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	12/19/1995	3/1/2001
Inactive	Canada Life Assurance Company	301192	Agent - Health	8/20/2001	8/28/2003
Inactive	Canada Life Assurance Company	301192	Agent - Life	8/20/2001	8/28/2003
Inactive	Continental Casualty Company	301019	Agent - Health	7/30/1991	1/15/2002
Inactive	Crown Life Insurance Company	300151	Agent - Health	8/10/1982	3/31/1999
Inactive	Crown Life Insurance Company	300151	Agent - Life	8/10/1982	3/31/1999
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	4/30/2003	7/1/2006
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	4/30/2003	7/1/2006
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	10/4/1982	5/23/2005
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	10/4/1982	5/23/2005
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	5/31/2001	5/23/2005
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/18/2000	3/24/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/9/2001	7/1/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/16/1999	7/19/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/19/1997	7/1/2006
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/19/1997	7/1/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/4/1995	7/1/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/9/1997	7/1/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/9/1997	7/1/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/2/1991	11/14/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/2/1991	11/14/2002
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/26/1991	7/1/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/26/1991	7/1/2006
Inactive	HM Life Insurance Company	301408	Agent - Health	8/22/1989	1/1/1999
Inactive	HM Life Insurance Company	301408	Agent - Life	8/22/1989	1/1/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/12/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/1/1985	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/4/1991	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Life	9/4/1991	9/12/2003
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/14/1998	7/24/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/14/1998	7/24/2000
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/22/2000	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/22/2000	11/7/2002
Inactive	MONY Life Insurance Company	301141	Agent - Health	6/22/1961	5/23/2005
Inactive	MONY Life Insurance Company	301141	Agent - Life	6/22/1961	5/23/2005
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/20/2000	7/5/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/20/2000	7/5/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/11/1995	7/1/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/11/1995	7/1/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/11/1998	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/11/1998	8/24/2000
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	6/1/1999	1/31/2003
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/6/1990	7/1/2006
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/6/1990	7/1/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/29/1993	7/1/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/29/1993	7/1/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/25/2001	3/8/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/25/2001	3/8/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/31/1998	3/8/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/31/1998	3/8/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/18/1995	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/18/1995	1/2/2003
Inactive	Standard Insurance Company	300185	Agent - Health	3/21/2000	7/1/2006
Inactive	Standard Insurance Company	300185	Agent - Life	3/21/2000	7/1/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Health	1/16/1996	7/1/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Life	1/16/1996	7/1/2006
Inactive	Time Insurance Company	300683	Agent - Health	5/9/1989	5/20/1996
Inactive	Time Insurance Company	300683	Agent - Life	5/9/1989	5/20/1996
Inactive	Transamerica Financial Life Insurance Company	301288	Agent - Health	12/21/1993	7/1/2006
Inactive	Transamerica Financial Life Insurance Company	301288	Agent - Life	12/21/1993	7/1/2006
Inactive	Transamerica Financial Life Insurance Company	301288	Agent - Variable Life and Variable Annuities	5/31/2001	7/1/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/14/1999	7/25/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/14/1999	7/25/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/24/1990	5/23/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/24/1990	1/31/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	5/26/1999	4/3/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	5/26/1999	11/7/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/12/1986	7/1/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/12/1986	7/1/2006
Inactive	Union Central Life Insurance Company	300307	Agent - Health	6/7/1990	12/31/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/7/1990	12/31/2004
Inactive	Union Security Insurance Company	301844	Agent - Health	10/1/1991	7/1/2006
Inactive	Union Security Insurance Company	301844	Agent - Life	10/1/1991	7/1/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/9/2005	4/3/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/9/2005	4/3/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/9/2005	4/3/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	12/16/1996	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/9/2005	4/3/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Health	9/23/1997	12/29/2005
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/23/1997	12/29/2005
Inactive		300277	Agent - Health	1/14/1998	7/1/2006
Inactive		300277	Agent - Life	1/14/1998	7/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	7/1/2006
Inactive	Dicken-McDowell and Cramer	400120	Agent - Health Maintenance Organization	3/31/1993	3/1/2001
Inactive	Dicken-McDowell and Cramer	400120	Agent - Health	3/1/2001	12/30/2002
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997