DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Nancy Dare	DOIID	741380	NAIC NPN	5957169

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/30/2010		10/31/2024
Active	Non Resident	Agent	Health	10/30/2010		10/31/2024
* 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
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/18/2010	9/3/2013
Inactive	Health Resources Inc.	301210	Agent - Health	1/7/2011	12/31/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/5/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/5/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/5/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/5/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Life	11/18/2010	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/5/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/18/2010	9/3/2013
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/5/2016	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/18/2010	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/18/2010	9/3/2013
Active	Life Insurance Company of North America	300711	Agent - Life	7/14/2016
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	12/15/2010
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	12/15/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Risk Services South, Inc	566581	Agent - Health	1/12/2011
Active	Aon Risk Services South, Inc	566581	Agent - Life	1/12/2011
Active	Dental Choice Agency Inc.	398085	Agent - Health	7/11/2016
Active	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013