DEPARTMENT OF INSURANCE

Affiliations

Name	Conwell, Dennis W	DOIID	518455	NAIC NPN	3665071

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/12/2014	2/29/2020
Inactive	Non Resident	Agent	Life	12/12/2014	2/29/2020
* 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	AF&L Insurance Company	301582	Agent - Health	6/7/2002	7/24/2003
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/30/2017	2/29/2020
Inactive	American Continental Insurance Company	643130	Agent - Health	10/20/2008	2/28/2010
Inactive	American Continental Insurance Company	643130	Agent - Life	5/30/2017	2/29/2020
Denied	American Equity Investment Life Insurance Company	300389	Agent - Life
Inactive	American Income Life Insurance Company	300256	Agent - Health	4/4/2011	9/19/2011
Inactive	American Income Life Insurance Company	300256	Agent - Life	4/4/2011	9/19/2011
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	1/16/2001	12/31/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/1/2011	7/10/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/24/2008	2/28/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/24/2008	2/28/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Health	8/26/2002	6/26/2003
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/30/2017	2/29/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/20/2008	2/28/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/1/2011	7/10/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/30/2015	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/30/2015	12/14/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/1/2016	4/20/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/1/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/1/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/1/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/1/2016	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/1/2016	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/1/2016	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/1/2016	4/20/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/14/2011	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/14/2011	7/10/2013
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	1/22/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	6/19/2002	1/22/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/24/2009	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/24/2009	11/26/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/1/2012	9/23/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	9/24/2012	8/22/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/21/2002	8/19/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/21/2002	8/19/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/10/2008	2/28/2010
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/10/2008	2/28/2010
Inactive	Reserve National Insurance Company	301073	Agent - Health	8/4/2017	1/22/2019
Inactive	Reserve National Insurance Company	301073	Agent - Life	8/4/2017	1/22/2019
Inactive	SILAC Insurance Company	300535	Agent - Health	1/22/2015	2/29/2020
Inactive	SILAC Insurance Company	300535	Agent - Life	1/22/2015	2/29/2020
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	12/18/2001	9/17/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/1/2002	2/28/2010
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/1/2002	2/28/2010
Inactive	Time Insurance Company	300683	Agent - Health	9/3/2002	12/10/2004
Inactive	Time Insurance Company	300683	Agent - Life	9/3/2002	12/10/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/7/2016	7/17/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/7/2016	7/17/2017
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Health	6/7/2015	3/31/2017
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Life	6/7/2015	3/31/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/1/2012	9/23/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Designated Agent Company Inc.	681257	Agent - Health
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	GoldenCare USA, LLC	398142	Agent - Health	11/3/2016	2/29/2020
Inactive	GoldenCare USA, LLC	398142	Agent - Life	11/3/2016	2/29/2020
Inactive	National Independent Brokers, LLC	502029	Agent - Health	11/3/2016	2/29/2020
Inactive	National Independent Brokers, LLC	502029	Agent - Life	11/3/2016	2/29/2020