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	License Expiration Date
Inactive	Non Resident	Agent	Life	10/5/2012	7/18/2016
Inactive	Non Resident	Agent	Health	10/11/2019	1/31/2021
Active	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	11/15/2024	01/31/2025

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