DEPARTMENT OF INSURANCE
Affiliations
NameBallard, Dennis GlennDOIID338262NAIC NPN5959992
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife12/29/19946/30/2006 
InactiveResidentAgentProperty12/14/20016/30/2006 
InactiveResidentAgentCasualty12/14/20016/30/2006 
InactiveResidentAgentVariable Life and Variable Annuities5/31/20016/30/2006 
InactiveResidentAgentGeneral Lines12/22/199812/31/1999 
InactiveResidentAgentHealth12/29/19946/30/2006 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllstate Insurance Company300773Agent - Casualty12/14/20014/4/2005
InactiveAllstate Insurance Company300773Agent - Property12/14/20014/4/2005
InactiveAmerican Heritage Life Insurance Company300272Agent - Health7/16/200111/14/2005
InactiveAmerican Heritage Life Insurance Company300272Agent - Life7/16/200111/14/2005
InactiveAmerican Network Insurance Company301156Agent - Health3/26/19963/31/1997
InactiveAmerican States Life Insurance Company301884Agent - Health11/1/199812/4/2001
InactiveAmerican States Life Insurance Company301884Agent - Life11/1/199812/4/2001
InactiveAssurity Life Insurance Company301099Agent - Health5/6/199912/19/2000
InactiveAssurity Life Insurance Company301099Agent - Life5/6/199912/19/2000
InactiveAuto-Owners Life Insurance Company301368Agent - Health5/4/19982/26/2001
InactiveAuto-Owners Life Insurance Company301368Agent - Life5/4/19982/26/2001
InactiveBankers United Life Assurance Company300296Agent - Health12/29/19943/31/1997
InactiveBankers United Life Assurance Company300296Agent - Life12/29/19943/31/1997
InactiveCeltic Insurance Company300877Agent - Health2/27/19953/31/1997
InactiveCeltic Insurance Company300877Agent - Life2/27/19953/31/1997
InactiveCentral States Health and Life Company of Omaha301874Agent - Health1/16/200312/27/2003
InactiveCentral States Health and Life Company of Omaha301874Agent - Life1/16/200312/27/2003
InactiveCincinnati Life Insurance Company (The)300601Agent - Health3/5/19982/11/2000
InactiveCincinnati Life Insurance Company (The)300601Agent - Life3/5/19982/11/2000
InactiveEverlake Life Insurance Company300873Agent - Health11/19/20014/4/2005
InactiveEverlake Life Insurance Company300873Agent - Life11/19/20014/4/2005
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities5/31/20016/30/2006
InactiveGrange Life Insurance Company300128Agent - Health4/14/199810/19/2000
InactiveGrange Life Insurance Company300128Agent - Life4/14/199810/19/2000
InactiveInter-State Assurance Company301556Agent - Life2/10/19958/10/1998
InactiveKentucky National Insurance Company301625Agent - General Lines12/22/199812/31/1999
InactiveLincoln Benefit Life Company301110Agent - Life1/11/199612/16/2005
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities5/31/200112/16/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/2/19966/30/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/2/19966/30/2006
InactiveSouthwestern Life Insurance Company301343Agent - Health1/19/199510/9/1998
InactiveSouthwestern Life Insurance Company301343Agent - Life1/19/199510/9/1998
InactiveSurety Life Insurance Company301689Agent - Health7/30/199810/9/2000
InactiveSurety Life Insurance Company301689Agent - Life7/30/199810/9/2000
InactiveSymetra Life Insurance Company301691Agent - Health3/2/199812/4/2001
InactiveSymetra Life Insurance Company301691Agent - Life3/2/199812/4/2001
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health1/25/19951/25/1999
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life1/25/19951/25/1999
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMorehead Insurance Incorporated400084Agent - Health4/4/19982/14/2003
InactiveMorehead Insurance Incorporated400084Agent - Life4/4/19982/14/2003

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