DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Beckwith, Deedee Grisham	DOIID	620538	NAIC NPN	8501091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/2/2017	8/31/2019
Inactive	Non Resident	Agent	Health	11/22/2005	8/31/2007
* 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	Humana Health Plan, Inc.	300142	Agent - Health	1/3/2006	2/20/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/3/2006	2/20/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Serv Administrators Inc	397924	Administrator - Not Applicable	11/8/2017	3/4/2019