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DEPARTMENT OF INSURANCE
Affiliations
Name
Deforest III, Henry Randolph
DOIID
394395
NAIC NPN
2794818
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
7/22/1996
1/31/2010
Inactive
Non Resident
Agent
Life
7/22/1996
1/31/2010
* 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
Combined Insurance Company of America
301472
Agent - Health
7/22/1996
9/10/2007
Inactive
Combined Insurance Company of America
301472
Agent - Life
7/22/1996
9/10/2007
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
10/27/2008
1/31/2010
Inactive
CompBenefits Insurance Company
301864
Agent - Health
10/27/2008
1/31/2010
Inactive
CompBenefits Insurance Company
301864
Agent - Life
10/27/2008
1/31/2010
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
1/31/2010
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
8/13/2007
1/31/2010
Inactive
Humana Insurance Company
301104
Agent - Health
8/13/2007
1/31/2010
Inactive
Humana Insurance Company
301104
Agent - Life
8/13/2007
1/31/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
8/13/2007
1/31/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
8/13/2007
1/31/2010
Inactive
Kanawha Insurance Company
300127
Agent - Health
12/23/2008
1/31/2010
Inactive
Kanawha Insurance Company
300127
Agent - Life
12/23/2008
1/31/2010
Inactive
Sterling Life Insurance Company
301947
Agent - Health
6/12/2007
6/3/2008
Inactive
Sterling Life Insurance Company
301947
Agent - Life
6/12/2007
6/3/2008
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 - Life
2/1/2008
1/31/2010
Inactive
Humana MarketPOINT Inc.
398092
Agent - Health
2/1/2008
1/31/2010
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