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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	06/15/2025	08/31/2025
Agent	06/15/2025	08/31/2025

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