DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boen, Dennis R	DOIID	582159	NAIC NPN	968464

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/8/2004	12/31/2010
Inactive	Non Resident	Agent	Health	1/8/2004	12/31/2010
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/25/2004	3/5/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/25/2004	3/5/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Huntington Insurance Inc	515749	Agent - Health
Denied	Huntington Insurance Inc	515749	Agent - Life