DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bossingham, Dennis James	DOIID	716822	NAIC NPN	15159243

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/9/2009	5/23/2010
Inactive	Resident	Agent	Health	11/9/2009	5/23/2010
* 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	John Alden Life Insurance Company	300573	Agent - Health	12/22/2009	4/26/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/22/2009	4/26/2010
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	11/13/2009	4/6/2010
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	11/13/2009	4/6/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	12/9/2009	4/26/2010
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	12/9/2009	4/26/2010