DEPARTMENT OF INSURANCE

Affiliations

Name	Dehner, Dave Daniel	DOIID	343593	NAIC NPN	1485658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/28/1982	10/31/2010
Inactive	Resident	Agent	Health	6/28/1982	10/31/2010
Inactive	Resident	Agent	Health Maintenance Organization	5/2/1995	3/1/2001
AFFIDAVIT ON FILE
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/25/1996	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/25/1996	11/22/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	8/25/1993	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	8/25/1993	12/16/1996
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	5/9/1986	10/23/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	5/9/1986	10/23/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	6/28/1982	2/10/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	6/28/1982	2/10/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/19/1992	4/10/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	5/19/1992	4/10/2003
Inactive	Celtic Insurance Company	300877	Agent - Health	11/24/1987	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	11/24/1987	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/3/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/3/1995	3/31/1997
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/8/1994	10/27/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/8/1994	10/27/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/10/1993	5/22/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/10/1993	5/22/2006
Inactive	Continental General Insurance Company	300691	Agent - Health	5/1/1997	3/3/1999
Inactive	Continental General Insurance Company	300691	Agent - Life	5/1/1997	3/3/1999
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/17/2002	10/31/2010
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	10/11/1995	10/31/2010
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	10/11/1995	10/31/2010
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	9/4/1998	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/4/1998	10/28/2008
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/1/2001	10/31/2010
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	8/17/1995	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	10/31/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/2/1995	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	3/24/1988	10/31/2010
Inactive	Humana Insurance Company	301104	Agent - Life	3/24/1988	10/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004	10/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004	10/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/15/2001	10/31/2010
Inactive	Inter-State Assurance Company	301556	Agent - Life	7/10/1997	7/1/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/29/1988	5/5/1999
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/29/1988	5/5/1999
Inactive	Life Insurance Company of North America	300711	Agent - Health	11/5/1987	12/21/1998
Inactive	Life Insurance Company of North America	300711	Agent - Life	11/5/1987	12/21/1998
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/4/1986	3/31/1997
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/4/1986	3/31/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/8/1998	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/8/1998	11/19/2008
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/16/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/16/1997	3/31/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/26/1989	8/28/1998
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/26/1989	8/28/1998
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	1/12/1998	6/5/1998
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Health	10/17/1991	12/31/1998
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Life	10/17/1991	12/31/1998
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/18/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/18/1998	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	12/28/1995	3/1/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/21/1993	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/21/1993	8/24/2000
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/1/2002	3/3/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/12/1998	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/12/1998	10/24/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	7/14/1999	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	7/14/1999	8/21/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Life	7/14/1999	8/21/2003
Inactive	Security Life Insurance Company of America	300936	Agent - Health	5/24/1999	12/23/2002
Inactive	Security Life Insurance Company of America	300936	Agent - Life	5/24/1999	12/23/2002
Inactive	Time Insurance Company	300683	Agent - Health	10/23/1984	8/23/2001
Inactive	Time Insurance Company	300683	Agent - Life	10/23/1984	8/23/2001
Inactive	Transamerica Assurance Company	300893	Agent - Health	3/3/1994	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	3/3/1994	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	10/31/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	10/31/2010
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	8/8/1991	6/24/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	8/8/1991	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/8/1991	10/1/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	4/4/2000	4/3/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/4/2000	11/7/2002
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	2/28/1989	12/22/2008
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	2/28/1989	12/22/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/24/2000	12/12/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/24/2000	12/12/2009
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/22/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/22/1995	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	12/12/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	3/1/2000	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/12/2004	12/12/2009
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/17/2002	12/29/2005

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	4/12/2002	10/31/2010
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Kentucky Ins Service & Sales Inc	398897	Agent - Life	2/13/1990	10/31/2010
Inactive	Kentucky Ins Service & Sales Inc	398897	Agent - Health	2/13/1990	10/31/2010