DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dickens, William A	DOIID	805295	NAIC NPN	16352895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/8/2013	4/29/2015
Inactive	Non Resident	Agent	Health	3/8/2013	4/29/2015
* 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	American General Life Insurance Company	301585	Agent - Health	3/28/2015	4/20/2015
Inactive	American General Life Insurance Company	301585	Agent - Life	3/28/2015	4/20/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/7/2014	4/29/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/7/2014	4/29/2015
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	4/29/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/3/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/3/2013	12/5/2014
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/3/2015	4/29/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/3/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/3/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	6/3/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	6/3/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/3/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/3/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/3/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/3/2013	12/5/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	12/13/2013	11/14/2014

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 - Life	11/7/2014	4/29/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/7/2014	4/29/2015
Inactive	Efinancial LLC	598419	Agent - Life	1/6/2014	8/18/2014
Inactive	Efinancial LLC	598419	Agent - Health	1/6/2014	8/18/2014