PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameKoontz, Dennis WadeDOIID781983NAIC NPN5930268
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty5/16/20127/31/2018 
InactiveNon ResidentAgentCasualty5/16/20127/31/2018 
InactiveNon ResidentAgentLife5/16/20127/31/2018 
InactiveNon ResidentAgentHealth5/16/20127/31/2018 
InactiveNon ResidentSurplus Lines BrokerNot Applicable5/16/20127/31/2014 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAuto-Owners Insurance Company301480Agent - Casualty8/11/20147/31/2018
InactiveAuto-Owners Insurance Company301480Agent - Property8/11/20147/31/2018
InactiveCountry Mutual Insurance Company301024Agent - Casualty1/1/20173/20/2018
InactiveCountry Mutual Insurance Company301024Agent - Property1/1/20173/20/2018
InactiveHumana Health Plan, Inc.300142Agent - Health11/22/201312/5/2014
InactiveHumana Insurance Company301104Agent - Health11/22/20134/13/2015
InactiveHumana Insurance Company301104Agent - Life11/22/20134/13/2015
InactiveKanawha Insurance Company300127Agent - Health11/22/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Life11/22/201312/5/2014
InactiveMiddlesex Mutual Assurance Company569442Agent - Casualty8/3/201512/31/2016
InactiveMiddlesex Mutual Assurance Company569442Agent - Property8/3/201512/31/2016
InactiveOwners Insurance Company300796Agent - Casualty10/27/20147/31/2018
InactiveOwners Insurance Company300796Agent - Property10/27/20147/31/2018
InactiveSAFECO Insurance Company of America300159Agent - Casualty7/6/20167/31/2018
InactiveSAFECO Insurance Company of America300159Agent - Property7/6/20167/31/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty7/6/20167/31/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Property7/6/20167/31/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveConsolidated Ins Services841676Agent - Property7/30/20143/31/2018
InactiveConsolidated Ins Services841676Agent - Casualty7/30/20143/31/2018
DeniedGeny Insurance Group, LLC800421Agent - Life  
DeniedGeny Insurance Group, LLC800421Agent - Health  
InactiveGeny Insurance Group, LLC800421Agent - Property10/9/20177/31/2018
InactiveGeny Insurance Group, LLC800421Agent - Casualty10/9/20177/31/2018

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