DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, David Dwane	DOIID	338323	NAIC NPN	1891577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/18/2014		9/30/2026
Active	Non Resident	Agent	Health	7/18/2014		9/30/2026
Inactive	Resident	Agent	Property	8/15/2000	4/26/2004
Inactive	Resident	Agent	Casualty	8/15/2000	4/26/2004
Inactive	Resident	Agent	General Lines	4/11/1995	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	07/09/2024	07/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/15/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/15/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/15/2023
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	8/7/2003	4/26/2004
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/23/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/6/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/23/2014	11/20/2017
Active	CompBenefits Insurance Company	301864	Agent - Health	11/23/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/2/2018	8/7/2019
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/31/2000	4/26/2004
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/31/2000	4/26/2004
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/17/2021
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/17/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/8/2021
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/31/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/6/2018	8/7/2019
Active	Humana Insurance Company	301104	Agent - Health	7/5/2023
Active	Humana Insurance Company	301104	Agent - Life	6/7/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/6/2018	8/7/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/6/2018	8/7/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/6/2018	8/7/2019
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/31/2021
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	5/6/2002	4/26/2004
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	5/6/2002	4/26/2004
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/12/2002	4/26/2004
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/12/2002	4/26/2004
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	9/12/2002	4/26/2004
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	9/12/2002	4/26/2004
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/23/2014	10/14/2016
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/23/2014	10/14/2016
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - Casualty	8/15/2000	4/26/2004
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - General Lines	4/11/1995	8/15/2000
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - Property	8/15/2000	4/26/2004
Active	SilverScript Insurance Company	663526	Agent - Health	9/15/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/12/2000	4/26/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/2/1990	4/26/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/2/1990	4/26/2004
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/6/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/6/2023

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	6/23/2020	7/21/2023