DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Dale Ivan	DOIID	689554	NAIC NPN	130157

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/21/2008	4/30/2011
Inactive	Non Resident	Agent	Health	7/26/2019	4/30/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	4/30/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	4/30/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/30/2009	4/30/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	4/30/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/13/2008	4/30/2011
Inactive	Humana Insurance Company	301104	Agent - Health	11/13/2008	4/30/2011
Inactive	Humana Insurance Company	301104	Agent - Life	11/13/2008	4/30/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/13/2008	4/30/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/13/2008	4/30/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/21/2010	4/30/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/21/2010	4/30/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	4/30/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2019	4/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2019	4/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/1/2009	4/30/2011
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/1/2009	4/30/2011