DEPARTMENT OF INSURANCE

Affiliations

Name	Fuqua, Denise M	DOIID	651533	NAIC NPN	9038511

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/17/2007	10/31/2023
Inactive	Non Resident	Agent	Health	3/17/2007	10/31/2023
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	7/27/2009	8/9/2012
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/27/2009	8/9/2012
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	10/16/2014	11/15/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/9/2009	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/9/2009	11/2/2016
Inactive	Athene Annuity and Life Company	301893	Agent - Life	1/12/2011	8/1/2013
Inactive	Augustar Life Insurance Company	301816	Agent - Life	1/27/2012	8/6/2014
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	4/5/2007	5/25/2010
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	4/5/2007	5/25/2010
Inactive	Columbus Life Insurance Company	301227	Agent - Health	8/31/2011	8/20/2018
Inactive	Columbus Life Insurance Company	301227	Agent - Life	8/31/2011	8/20/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/31/2012	4/14/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/30/2008	7/16/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/31/2012	4/14/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/30/2008	7/16/2009
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/31/2012	4/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2012	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/31/2012	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/31/2012	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/31/2012	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/31/2012	4/14/2014
Inactive	State Life Insurance Company	301497	Agent - Health	1/30/2013	5/19/2017
Inactive	State Life Insurance Company	301497	Agent - Life	1/30/2013	5/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2009	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2009	11/2/2016