DEPARTMENT OF INSURANCE
Affiliations
NameHenz, Dawn DOIID623973NAIC NPN5332695
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/16/2006 2/28/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities4/2/2012 2/28/2025
ActiveNon ResidentAgentHealth1/16/2006 2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/28/202112/20/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/24/202112/20/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/202112/20/2022
InactiveBanner Life Insurance Company301696Agent - Life1/4/20195/27/2024
InactiveCincinnati Life Insurance Company (The)300601Agent - Health3/7/20064/29/2010
InactiveCincinnati Life Insurance Company (The)300601Agent - Life3/7/20064/29/2010
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/24/202112/20/2022
InactiveFirst Colony Life Insurance Company301179Agent - Health3/14/20061/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life3/14/20061/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health3/14/200612/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life3/14/200612/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200710/4/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200710/4/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Health1/31/20065/14/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/31/20065/14/2018
InactiveNorthwestern Long Term Care Insurance Company300135Agent - Health3/23/20113/6/2020
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Health2/4/20103/6/2020
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Life2/4/20103/6/2020
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities4/2/20123/6/2020
InactivePruco Life Insurance Company300954Agent - Life3/10/20229/1/2022
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/10/20229/1/2022
InactivePrudential Insurance Company of America300784Agent - Health3/10/20229/1/2022
InactivePrudential Insurance Company of America300784Agent - Life3/10/20229/1/2022
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities3/10/20229/1/2022
InactiveReliaStar Life Insurance Company301712Agent - Life4/1/200810/6/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life4/1/20089/29/2012
ActiveStandard Insurance Company300185Agent - Health12/15/2006 
ActiveStandard Insurance Company300185Agent - Life12/15/2006 
InactiveSun Life Assurance Company of Canada301811Agent - Health2/21/20079/25/2023
InactiveSun Life Assurance Company of Canada301811Agent - Life2/21/20079/25/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHoran Associates, Inc.502048Agent - Life2/5/20079/2/2011
InactiveHoran Associates, Inc.502048Agent - Health2/5/20079/2/2011
ActiveHuntington Investment Co The633475Agent - Life11/22/2022 
DeniedHuntington Investment Co The633475Agent - Variable Life and Variable Annuities  
ActivePrudential Insurance Agency LLC620187Agent - Life3/15/2022 
ActivePrudential Insurance Agency LLC620187Agent - Health3/15/2022 
DeniedPrudential Insurance Agency LLC620187Agent - Variable Life and Variable Annuities  

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