DEPARTMENT OF INSURANCE

Affiliations

Name	Stappenbeck, David S	DOIID	763576	NAIC NPN	1314649

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/14/2011	9/30/2013
Inactive	Non Resident	Agent	Health	9/14/2011	9/30/2013
* 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	10/18/2011	9/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/18/2011	9/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/18/2011	9/30/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	10/12/2011	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/12/2011	9/16/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/5/2011	9/30/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/6/2011	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/6/2011	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/5/2011	9/30/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/12/2011	7/12/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/12/2011	7/12/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/5/2011	9/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	12/5/2011	9/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	12/5/2011	9/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/5/2011	9/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/5/2011	9/30/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/6/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/6/2011	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/5/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/5/2011	4/25/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/4/2011	3/29/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/4/2011	3/29/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/5/2011	9/4/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/5/2011	9/4/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/5/2011	9/4/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/5/2011	9/4/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	10/4/2011	3/1/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	10/4/2011	3/1/2012