DEPARTMENT OF INSURANCE
Affiliations
NameChampion, Dennis DOIID742703NAIC NPN6958427
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/27/2021 11/30/2025
ActiveNon ResidentAgentHealth5/27/2021 11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health12/29/202111/17/2023
InactiveAccendo Insurance Company300312Agent - Life9/8/20216/27/2025
InactiveAetna Health and Life Insurance Company300523Agent - Health9/8/20216/27/2025
ActiveAetna Health of Ohio Inc.1065035Agent - Health6/25/2025 
ActiveAetna Life Insurance Company301140Agent - Health6/25/2025 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/28/20215/14/2025
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202112/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/28/20215/14/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health2/8/201311/30/2015
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/28/20215/14/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/8/20216/27/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life9/8/20216/27/2025
InactiveDental Concern Inc. (The)301641Agent - Health2/8/201311/30/2015
InactiveFederal Life Insurance Company300945Agent - Health9/2/202111/22/2022
InactiveHumana Health Plan, Inc.300142Agent - Health2/8/201311/30/2015
InactiveHumana Insurance Company301104Agent - Health2/8/201311/30/2015
InactiveHumana Insurance Company301104Agent - Life2/8/201311/30/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/8/201311/30/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/8/201311/30/2015
InactiveKanawha Insurance Company300127Agent - Health2/8/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life2/8/201310/22/2015
InactiveLumico Life Insurance Company300354Agent - Life5/23/202311/14/2024
InactiveMutual of Omaha Insurance Company301012Agent - Health11/21/202210/23/2023
ActiveSilverScript Insurance Company663526Agent - Health6/25/2025 
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health12/2/201010/3/2012
InactiveUnited World Life Insurance Company300532Agent - Health11/18/202111/22/2023
ActiveUnited of Omaha Life Insurance Company300156Agent - Health2/6/2023 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life2/6/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTZ Insurance Solutions LLC727470Agent - Life1/23/20242/13/2025
InactiveTZ Insurance Solutions LLC727470Agent - Health1/23/20242/13/2025

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