DEPARTMENT OF INSURANCE
Affiliations
NameConway, Lamont DerwonDOIID801037NAIC NPN14162320
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife1/10/20131/31/2017 
InactiveNon ResidentAgentHealth1/10/20131/31/2017 
* 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
InactiveAetna Health Inc. (PA)660717Agent - Health10/27/20151/31/2017
InactiveAetna Health Insurance Company301583Agent - Health10/27/20151/31/2017
InactiveAetna Life Insurance Company301140Agent - Health10/27/20151/31/2017
InactiveAetna Life Insurance Company301140Agent - Life10/27/20151/31/2017
InactiveCatlin Insurance Company, Inc.300979Agent - Health7/6/20159/1/2015
InactiveCombined Insurance Company of America301472Agent - Health8/8/201410/9/2015
InactiveCombined Insurance Company of America301472Agent - Life8/8/201410/9/2015
InactiveCompBenefits Dental, Inc.591692Agent - Health10/2/20141/17/2017
InactiveContinental American Insurance Company301700Agent - Health7/1/20158/26/2015
InactiveContinental American Insurance Company301700Agent - Life7/1/20158/26/2015
InactiveCoventry Health and Life Insurance Company301771Agent - Health10/27/20151/31/2017
InactiveCoventry Health and Life Insurance Company301771Agent - Life10/27/20151/31/2017
InactiveDental Concern Inc. (The)301641Agent - Health10/2/20141/17/2017
InactiveFreedom Life Insurance Company of America300074Agent - Health3/21/20131/20/2015
InactiveFreedom Life Insurance Company of America300074Agent - Life3/21/20131/20/2015
InactiveGolden Rule Insurance Company301943Agent - Health11/8/20142/2/2017
InactiveGolden Rule Insurance Company301943Agent - Life11/8/20142/2/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/3/20141/17/2017
InactiveHumana Health Plan, Inc.300142Agent - Health10/2/20141/17/2017
InactiveHumana Insurance Company301104Agent - Health10/3/20141/17/2017
InactiveHumana Insurance Company301104Agent - Life10/3/20141/17/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/2/20141/17/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/2/20141/17/2017
InactiveKanawha Insurance Company300127Agent - Health8/30/201311/3/2015
InactiveKanawha Insurance Company300127Agent - Life8/30/201311/3/2015
InactiveTime Insurance Company300683Agent - Health1/8/20141/31/2017
InactiveTime Insurance Company300683Agent - Life1/8/20141/31/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHomeland Healthcare, LLC736705Agent - Life3/21/201312/9/2015
InactiveHomeland Healthcare, LLC736705Agent - Health3/21/201312/9/2015

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