DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Watts, Venice	DOIID	641543	NAIC NPN	8599031

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/23/2020		6/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	10/12/2020	6/2/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/28/2021	7/3/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/30/2009	12/4/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/20/2008	6/26/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/12/2020	6/2/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	12/4/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/30/2009	12/4/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2009	12/4/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/30/2009	12/4/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/30/2009	12/4/2013
Inactive	Life Insurance Company of North America	300711	Agent - Health	10/12/2020	6/2/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	United States Pharmaceutical Group LLC	620386	Agent - Health