DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Decelles, Dawn Ella	DOIID	704669	NAIC NPN	13681511

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/13/2019		6/30/2026
Active	Non Resident	Agent	Health	11/13/2019		6/30/2026
* 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	10/16/2009	6/30/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/16/2009	6/30/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/16/2009	6/30/2016
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/12/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/12/2023
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2010	3/14/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2010	3/14/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/15/2019	8/30/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/15/2019	8/30/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/15/2019	8/30/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	11/15/2019	3/27/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/15/2019	8/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Arizona Inc	511502	Agent - Life	12/9/2019	3/6/2020
Inactive	Willis Of Arizona Inc	511502	Agent - Health	12/9/2019	3/6/2020