DEPARTMENT OF INSURANCE

Affiliations

Name	Champion, Dennis	DOIID	742703	NAIC NPN	6958427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/27/2021	11/30/2025
Active	Non Resident	Agent	Health	5/27/2021	11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/29/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/8/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/8/2013	11/30/2015
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/8/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/8/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/8/2013	11/30/2015
Inactive	Federal Life Insurance Company	300945	Agent - Health	9/2/2021	11/22/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/8/2013	11/30/2015
Inactive	Humana Insurance Company	301104	Agent - Health	2/8/2013	11/30/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/8/2013	11/30/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/8/2013	11/30/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/8/2013	11/30/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/8/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/8/2013	10/22/2015
Active	Lumico Life Insurance Company	300354	Agent - Life	5/23/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/21/2022	10/23/2023
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	12/2/2010	10/3/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	11/18/2021	11/22/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	2/6/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	2/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Life	1/23/2024
Active	TZ Insurance Solutions LLC	727470	Agent - Health	1/23/2024