DEPARTMENT OF INSURANCE

Affiliations

Name	Buselmeier Jr, Dan K	DOIID	812316	NAIC NPN	16984449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	7/17/2013	4/1/2016
Inactive	Resident	Agent	Property	7/17/2013	4/1/2016
Inactive	Resident	Agent	Life	6/26/2013	4/1/2016
Inactive	Resident	Agent	Health	6/26/2013	4/1/2016
* 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	Anthem Life Insurance Company	301209	Agent - Health	1/22/2014	4/1/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/22/2014	4/1/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/28/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/28/2014	12/8/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/16/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/28/2014	4/16/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/28/2014	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Health	7/28/2014	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Life	7/28/2014	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/28/2014	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/28/2014	4/16/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/16/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/28/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/28/2014	11/3/2015
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	7/26/2013	1/20/2015
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	7/26/2013	1/20/2015
Inactive	Nationwide General Insurance Company	300603	Agent - Property	7/26/2013	1/20/2015
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	7/26/2013	1/20/2015
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	7/26/2013	1/20/2015
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	7/26/2013	1/20/2015
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	7/26/2013	1/20/2015
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/26/2013	1/20/2015
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	7/26/2013	1/20/2015
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	7/26/2013	1/20/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/26/2013	1/20/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	7/26/2013	1/20/2015
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	7/26/2013	1/20/2015
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	7/26/2013	1/20/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	7/26/2013	1/20/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	7/26/2013	1/20/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ARMAS, LLC	645413	Agent - Life	1/15/2014	4/1/2016
Inactive	ARMAS, LLC	645413	Agent - Health	1/15/2014	4/1/2016
Inactive	ARMAS, LLC	645413	Agent - Casualty	1/15/2014	1/20/2015
Inactive	ARMAS, LLC	645413	Agent - Property	1/15/2014	1/20/2015
Inactive	Medlink Inc	400721	Agent - Life	1/15/2014	4/1/2016
Inactive	Medlink Inc	400721	Agent - Health	1/15/2014	4/1/2016