DEPARTMENT OF INSURANCE

Affiliations

Name	Dennis, Tina C	DOIID	781559	NAIC NPN	6886778

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/13/2023		10/31/2024
Active	Non Resident	Agent	Health	1/13/2023		10/31/2024
Inactive	Non Resident	Agent	Personal Lines	5/10/2012	10/31/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	10/31/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	10/31/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/3/2015	10/31/2018
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	10/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	10/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/21/2017	10/31/2018
Inactive	American Continental Insurance Company	643130	Agent - Health	1/23/2014	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	1/23/2014	11/12/2014
Inactive	American Republic Corp Insurance Company	300615	Agent - Health	12/3/2013	12/11/2017
Inactive	American Republic Corp Insurance Company	300615	Agent - Life	12/3/2013	12/11/2017
Active	American Republic Insurance Company	300861	Agent - Health	1/20/2023
Active	American Republic Insurance Company	300861	Agent - Life	1/20/2023
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	6/4/2015	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	6/4/2015	12/24/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/24/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/24/2019	12/10/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/17/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	10/31/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021	10/31/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/21/2017	10/31/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/3/2014	5/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/3/2014	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Health	2/3/2014	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/3/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/3/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/3/2014	5/28/2015
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	8/20/2019	10/31/2022
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	5/31/2014	4/18/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	5/31/2014	4/18/2018
Inactive	Medico Insurance Company	301559	Agent - Health	2/27/2014	9/20/2018
Inactive	Medico Insurance Company	301559	Agent - Life	2/27/2014	9/20/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	6/8/2012	11/14/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	3/14/2016	1/23/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/20/2019	10/31/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/20/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	10/31/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/6/2014	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/20/2020	4/8/2021

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	8/30/2019	12/14/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/30/2019	12/14/2020
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	6/13/2012	11/13/2013