DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Denise M	DOIID	731890	NAIC NPN	6900437

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/9/2010	5/3/2011
Inactive	Non Resident	Agent	Life	7/9/2010	5/3/2011
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/24/2010	5/3/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/24/2010	5/3/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2010	6/9/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/30/2010	6/9/2011
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2010	6/9/2011
Inactive	Humana Insurance Company	301104	Agent - Life	8/16/2010	6/9/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2010	6/9/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2010	6/9/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/6/2011	6/9/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/6/2011	6/9/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/25/2010	5/3/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/17/2010	6/20/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/25/2010	5/3/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/25/2010	5/3/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/17/2010	6/20/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	8/30/2010	4/22/2011
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	8/30/2010	4/22/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/24/2010	5/3/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/24/2010	5/3/2011