DEPARTMENT OF INSURANCE

Affiliations

Name	Hengesbach, Brendan Hugh	DOIID	756770	NAIC NPN	8459870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/21/2011	10/31/2016
Inactive	Non Resident	Agent	Life	6/21/2011	10/31/2016
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/1/2011	10/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/1/2011	10/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	5/2/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	5/2/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/19/2012	10/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	5/2/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/20/2012	5/2/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/20/2012	6/14/2016
Inactive	Humana Insurance Company	301104	Agent - Life	8/20/2012	6/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/20/2012	6/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/20/2012	6/14/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/20/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/20/2012	10/22/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/6/2012	5/22/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Life	4/6/2012	5/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	10/23/2014	9/22/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/6/2012	5/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/6/2012	5/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/18/2012	3/23/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/18/2012	3/23/2015

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	11/1/2011	10/31/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/1/2011	10/31/2016