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DEPARTMENT OF INSURANCE
Affiliations
Name
Belliston, Dustin William
DOIID
712854
NAIC NPN
14677789
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
9/3/2009
4/30/2011
Inactive
Non Resident
Agent
Life
9/3/2009
4/30/2011
* 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
11/5/2009
4/30/2011
Inactive
Aetna Life Insurance Company
301140
Agent - Health
11/5/2009
4/30/2011
Inactive
Aetna Life Insurance Company
301140
Agent - Life
11/5/2009
4/30/2011
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
9/21/2009
4/30/2011
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
9/21/2009
4/30/2011
Inactive
Anthem Life Insurance Company
301209
Agent - Health
9/21/2009
4/30/2011
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
2/5/2010
1/4/2011
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
9/18/2009
4/30/2011
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
9/28/2010
4/30/2011
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
12/2/2009
1/4/2011
Inactive
Humana Insurance Company
301104
Agent - Health
11/24/2009
1/4/2011
Inactive
Humana Insurance Company
301104
Agent - Life
11/24/2009
1/4/2011
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
2/5/2010
1/4/2011
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
2/5/2010
1/4/2011
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
9/14/2009
6/22/2011
Inactive
Sterling Life Insurance Company
301947
Agent - Health
9/23/2009
8/12/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
10/19/2009
4/30/2011
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
10/19/2009
4/30/2011
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/14/2009
6/22/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Extend Insurance Services, LLC
625753
Agent - Health
9/25/2009
4/30/2011
Inactive
Extend Insurance Services, LLC
625753
Agent - Life
10/19/2009
4/30/2011
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