DEPARTMENT OF INSURANCE

Affiliations

Name	Guillen, Dennis Ronnie	DOIID	797922	NAIC NPN	16688854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/27/2013	3/31/2019
Inactive	Non Resident	Agent	Health	11/19/2012	3/31/2019
* 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	2/1/2013	3/31/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/7/2016	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/1/2013	3/31/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/12/2013	3/31/2019
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	3/10/2013	6/11/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	3/31/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/30/2017	6/8/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/21/2012	3/31/2019
Inactive	Forethought Life Insurance Company	301407	Agent - Health	1/16/2014	12/1/2014
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	11/15/2016	12/27/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/4/2015	4/3/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/4/2015	4/3/2019
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/19/2015	6/12/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/28/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/28/2012	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/27/2012	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/1/2013	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/28/2012	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/1/2013	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	5/5/2015	3/22/2016
Inactive	Time Insurance Company	300683	Agent - Health	9/18/2015	3/31/2019
Inactive	Time Insurance Company	300683	Agent - Life	9/18/2015	3/31/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/12/2016	2/6/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	2/6/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/4/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/4/2015	11/4/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/12/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/12/2016	2/6/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/22/2014	10/28/2014
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/21/2014	10/28/2014

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 - Health	4/12/2013	3/31/2019
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	12/17/2012	3/31/2019
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	10/7/2013	3/31/2019