DEPARTMENT OF INSURANCE

Affiliations

Name	Dorsheimer, Dan G	DOIID	599584	NAIC NPN	635084

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/16/2005	4/30/2019
Inactive	Non Resident	Agent	Life	11/16/2005	4/30/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/13/2015	4/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/13/2015	4/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/13/2015	4/30/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/10/2010	9/13/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/10/2010	9/13/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/1/2005	4/30/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/1/2005	4/30/2005
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/2/2013	3/14/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/9/2009	4/30/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/2/2013	4/30/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/9/2009	4/30/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/12/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/11/2014	2/23/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/2/2013	4/30/2019
Inactive	Humana Insurance Company	301104	Agent - Life	7/2/2013	4/30/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/11/2014	4/30/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/11/2014	4/30/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/2/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/2/2013	10/22/2015
Inactive	Westport Insurance Corporation	301875	Agent - Health	3/8/2016	4/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aia American Insurance Administrators, LLC	600855	Agent - Health	10/6/2016	4/30/2019
Inactive	Aia American Insurance Administrators, LLC	600855	Agent - Life	10/6/2016	4/30/2019
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/18/2005	4/30/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/18/2005	4/30/2005
Inactive	Medlink Inc	400721	Agent - Health		4/30/2005
Inactive	Medlink Inc	400721	Agent - Life		4/30/2005