DEPARTMENT OF INSURANCE

Affiliations

Name	Henschen, David Brian	DOIID	690859	NAIC NPN	11845296

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/21/2008	1/1/2013
Inactive	Resident	Agent	Health	10/16/2008	1/1/2013
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/16/2008	2/22/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/21/2008	2/22/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	10/24/2010	3/15/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	10/24/2010	3/15/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/17/2010	1/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/17/2010	1/1/2013
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/30/2010	6/13/2011
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/8/2010	1/1/2013
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/6/2010	1/12/2013
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/21/2010	1/1/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2011	1/20/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/11/2011	1/20/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/11/2011	1/20/2011
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/14/2010	1/1/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/14/2010	1/1/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	1/20/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/27/2010	8/15/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/27/2010	8/15/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/19/2010	1/20/2011
Inactive	Humana Insurance Company	301104	Agent - Health	1/19/2010	1/20/2011
Inactive	Humana Insurance Company	301104	Agent - Life	1/19/2010	1/20/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/19/2010	1/20/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/19/2010	1/20/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/19/2010	1/20/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/19/2010	1/20/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/19/2010	1/20/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/19/2010	1/20/2011
Denied	Marquette National Life Insurance Company	300117	Agent - Health
Denied	Marquette National Life Insurance Company	300117	Agent - Life
Inactive	Medico Insurance Company	301559	Agent - Health	10/4/2010	7/2/2012
Inactive	Medico Insurance Company	301559	Agent - Life	10/4/2010	7/2/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/12/2010	12/17/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	6/20/2009	7/13/2009
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	6/20/2009	7/13/2009
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	6/20/2009	7/13/2009
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	6/20/2009	7/13/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/17/2010	11/5/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	6/20/2009	7/13/2009
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	6/20/2009	7/13/2009
Inactive	SILAC Insurance Company	300535	Agent - Health	9/30/2010	12/20/2011
Inactive	SILAC Insurance Company	300535	Agent - Life	9/30/2010	12/20/2011
Inactive	Time Insurance Company	300683	Agent - Health	5/25/2012	1/1/2013
Inactive	Time Insurance Company	300683	Agent - Life	5/25/2012	1/1/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/4/2012	1/1/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/4/2012	1/1/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/12/2010	12/17/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/12/2010	12/17/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/17/2010	6/6/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/8/2011	6/6/2012
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	6/4/2012	1/1/2013
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	6/4/2012	1/1/2013

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 - Health	10/17/2010	1/1/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/17/2010	1/1/2013
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/17/2010	10/26/2010
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	3/17/2010	10/26/2010