DEPARTMENT OF INSURANCE

Affiliations

Name	Van Atta, Dena Lynn	DOIID	549621	NAIC NPN	7275201

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	3/12/2024	8/31/2025
Active	Resident	Agent	Health	7/16/2002	8/31/2025
Active	Resident	Agent	Life	8/6/2002	8/31/2025
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	7/29/2014	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/4/2019	1/16/2024
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/29/2014	1/16/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/18/2014	1/16/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/15/2018	1/16/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/11/2013	1/16/2024
Inactive	Humana Insurance Company	301104	Agent - Health	7/12/2012	1/16/2024
Inactive	Humana Insurance Company	301104	Agent - Life	7/12/2012	1/16/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/12/2012	1/16/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/12/2012	1/16/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/18/2014	1/16/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/2/2016	1/16/2024
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/12/2012	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/12/2012	8/9/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/31/2011	11/9/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/31/2011	11/9/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/16/2002	2/28/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/6/2002	2/28/2007
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/6/2002	2/28/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Health
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Life