DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	National Health Plans LLC	DOIID	829340	NAIC NPN	17021207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/11/2013	3/31/2015
Inactive	Non Resident	Agent	Health	12/11/2013	3/31/2015
* 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	Assurity Life Insurance Company	301099	Agent - Health	1/20/2014	12/8/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/20/2014	12/8/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/1/2014	3/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	7/31/2014	3/31/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/31/2014	3/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/1/2014	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dziewit, David A	803041	Agent - Health	12/11/2013	3/31/2015
Inactive	Dziewit, David A	803041	Agent - Life	12/11/2013	3/31/2015