DEPARTMENT OF INSURANCE

Affiliations

Name	Vennen, James D	DOIID	742323	NAIC NPN	1573560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/23/2010	9/30/2012
Inactive	Non Resident	Agent	Life	11/5/2011	9/30/2012
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	2/28/2011	9/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/28/2011	9/30/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/25/2011	9/30/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/25/2011	9/30/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/3/2011	9/30/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/29/2011	9/30/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/29/2011	9/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/25/2011	9/30/2012
Inactive	Humana Insurance Company	301104	Agent - Health	2/25/2011	9/30/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/28/2011	9/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/25/2011	9/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/28/2011	9/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/25/2011	9/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/28/2011	9/30/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/25/2011	9/30/2012
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/21/2011	9/30/2012
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/11/2011	9/30/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/25/2011	9/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/18/2011	9/30/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/18/2011	9/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wiley Long Enterprises Inc	649162	Agent - Health	11/7/2011	9/30/2012
Inactive	Wiley Long Enterprises Inc	649162	Agent - Life	11/28/2011	9/30/2012