DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Humphries Jr, Wayne	DOIID	822115	NAIC NPN	15290418

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/27/2013		1/31/2026
Active	Non Resident	Agent	Life	9/26/2013		1/31/2026
* 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
Active	American General Life Insurance Company	301585	Agent - Health	11/29/2013
Active	American General Life Insurance Company	301585	Agent - Life	11/29/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/18/2013	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/18/2013	11/2/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/29/2014	6/15/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/29/2014	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/29/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2014	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2014	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2014	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/29/2014	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/29/2014	6/15/2018

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	12/18/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/18/2013	11/2/2016