DEPARTMENT OF INSURANCE

Affiliations

Name	Dietrick, Holly Williams	DOIID	811482	NAIC NPN	16819907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/22/2016	12/31/2019
Inactive	Non Resident	Agent	Life	12/22/2016	12/31/2019
* 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	American Continental Insurance Company	643130	Agent - Health	11/7/2013	11/12/2014
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/1/2013	4/17/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/1/2013	4/17/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/13/2013	5/20/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/18/2014	11/10/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/13/2013	5/20/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/28/2013	5/24/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/28/2013	5/24/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/22/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/13/2013	4/22/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/12/2013	4/22/2015
Inactive	Humana Insurance Company	301104	Agent - Health	7/13/2013	4/22/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/13/2013	4/22/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/12/2013	4/22/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/12/2013	4/22/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/13/2013	5/20/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/13/2013	5/20/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/29/2017	12/31/2019
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/29/2017	12/31/2019
Inactive	Pacific Life Insurance Company	301848	Agent - Health	1/28/2014	12/31/2015
Inactive	Pacific Life Insurance Company	301848	Agent - Life	1/28/2014	12/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	10/8/2013	2/2/2016
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	10/8/2013	2/2/2016
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	1/27/2014	12/31/2015
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	1/27/2014	12/31/2015