DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dizenhouse, Joseph	DOIID	732466	NAIC NPN	7611698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	1/3/2024		2/28/2026
Active	Non Resident	Agent	Health	7/16/2010		2/28/2026
Active	Non Resident	Agent	Life	7/16/2010		2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	12/15/2025	02/28/2026
Agent	12/15/2025	02/28/2026

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	3/26/2015	11/3/2016
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	2/7/2013	3/10/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/7/2013	3/10/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	2/7/2013	3/10/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/11/2015	3/14/2019
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/7/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/7/2013	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/11/2015	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/11/2015	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	2/11/2015	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	2/11/2015	12/19/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/11/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/11/2015	10/22/2015

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 - Life	3/26/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/26/2015	11/2/2016
Active	Slate Rx, LLC	1317275	Administrator - Not Applicable	1/3/2024
Inactive	Towers Watson Pennsylvania Inc	502884	Agent - Life	2/7/2013	1/22/2015
Inactive	Towers Watson Pennsylvania Inc	502884	Agent - Health	2/7/2013	1/22/2015