DEPARTMENT OF INSURANCE

Affiliations

Name	Humphrey, Demetrice Shunta	DOIID	793730	NAIC NPN	8538197

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/5/2012	7/18/2016
Inactive	Non Resident	Agent	Health	10/11/2019	1/31/2021
Inactive	Non Resident	Independent Adjuster	Property & Casualty	3/4/2017	1/31/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/24/2014	5/14/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/24/2014	5/14/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/24/2014	5/14/2015
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/26/2019	1/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/16/2012	7/18/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/16/2012	7/18/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/29/2014	5/6/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/24/2014	5/14/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	11/24/2014	5/14/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/29/2014	5/6/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/6/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/29/2014	5/6/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/29/2014	5/6/2015
Inactive	Humana Insurance Company	301104	Agent - Health	8/29/2014	5/6/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/29/2014	5/6/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/29/2014	5/6/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/29/2014	5/6/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/6/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/29/2014	5/6/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/29/2014	5/6/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/19/2014	9/10/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/19/2014	9/10/2014
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/11/2019	1/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/11/2019	1/31/2021

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	10/16/2012	7/18/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/16/2012	7/18/2016
Inactive	Ins Dialogue Agency LLC	798353	Agent - Health	11/12/2019	1/31/2021