DEPARTMENT OF INSURANCE

Affiliations

Name	Madera, Dina Marie	DOIID	376583	NAIC NPN	548655

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	1/10/1994	12/31/2024
Active	Resident	Agent	Health	1/10/1994	12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	1/10/2001	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007
Active	Aetna Life Insurance Company	301140	Agent - Health	1/10/2001
Active	Aetna Life Insurance Company	301140	Agent - Life	1/10/2001
Active	American General Life Insurance Company	301585	Agent - Health	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Life	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	12/27/2000	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	12/27/2000	12/31/2012
Inactive	American United Life Insurance Company	300498	Agent - Health	3/9/1999	12/16/2009
Inactive	American United Life Insurance Company	300498	Agent - Life	3/9/1999	12/16/2009
Inactive	Avemco Insurance Company	300669	Agent - Health	11/25/2003	6/15/2005
Inactive	Clarendon National Insurance Company	300843	Agent - Health	7/17/2000	2/11/2002
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/14/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/13/2011	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/13/2011	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/22/2016	7/14/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/26/2007	12/9/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/26/2007	12/9/2008
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	9/10/1998	9/29/2006
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	9/10/1998	9/29/2006
Inactive	General American Life Insurance Company	300280	Agent - Health	1/10/1994	11/19/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	1/10/1994	11/19/2009
Active	Guardian Life Insurance Company of America	301316	Agent - Health	5/30/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	5/30/2023
Inactive	HCC Life Insurance Company	301827	Agent - Health	11/25/2003	10/3/2012
Inactive	HCC Life Insurance Company	301827	Agent - Life	11/25/2003	10/3/2012
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	4/9/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	4/9/2004	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/10/2004
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/10/2004
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/22/2016	7/14/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/26/2016	7/14/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/22/2016	7/14/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/14/1997	7/14/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/14/1997	7/14/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/22/2016	7/14/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/22/2016	7/14/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/22/2016	7/14/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/5/2016	7/14/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/16/2003	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/16/2003	5/13/2013
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	7/30/1999	11/16/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/30/1999	11/16/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/29/2007	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/29/2007	12/29/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/21/2015	7/14/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/21/2015	7/14/2017
Active	Life Insurance Company of North America	300711	Agent - Health	1/28/1999
Active	Life Insurance Company of North America	300711	Agent - Life	1/28/1999
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/19/2013
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/19/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/21/2008	8/17/2010
Active	Prudential Insurance Company of America	300784	Agent - Health	4/29/1999
Active	Prudential Insurance Company of America	300784	Agent - Life	4/29/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	6/2/1994	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	6/2/1994	9/3/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/17/1999	11/3/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/17/1999	11/3/2007
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/19/2013	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/19/2013	10/1/2015
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	9/12/2006	11/3/2009
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	9/12/2006	11/3/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2015	6/27/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2015	6/27/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/27/2015	5/3/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/27/2015	5/3/2016
Inactive	United World Life Insurance Company	300532	Agent - Health	3/21/2008	8/17/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/21/2008	8/17/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/21/2008	8/17/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/20/2007	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/20/2007	12/14/2009
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/22/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/22/1996	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/20/2007	12/14/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/20/2007	12/14/2009
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	6/2/1994	12/17/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	6/2/1994	12/17/2004

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	10/27/2005	9/18/2018
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Houchens Insurance Group, Inc.	637099	Agent - Life	9/15/2006
Active	Houchens Insurance Group, Inc.	637099	Agent - Health	9/6/2006
Inactive	Van Meter Insurance Inc.	514979	Agent - Life	10/25/2000	2/5/2007
Inactive	Van Meter Insurance Inc.	514979	Agent - Health	10/25/2000	2/5/2007