DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Group Dental Service, Inc.	DOIID	635733	NAIC NPN	8831574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	9/18/2006	12/31/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Britton, Benjamin B	718010	Administrator - Not Applicable	11/24/2009	7/8/2013
Inactive	Freshwater, William Arthur	635720	Administrator - Not Applicable	9/18/2006	6/27/2008
Inactive	Losel, Jenni	576159	Administrator - Not Applicable	4/11/2016	12/31/2022
Inactive	Ratkowski, Olga Catherine	635718	Administrator - Not Applicable	9/18/2006	8/31/2009
Inactive	Stewart, Joan Marie	814079	Administrator - Not Applicable	7/8/2013	4/11/2016