DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Demetrius Monte	DOIID	853006	NAIC NPN	17374423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/20/2022		7/31/2026
Active	Non Resident	Agent	Life	4/20/2022		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	05/02/2024	05/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/25/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/25/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/25/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/22/2017	6/6/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/2/2014	11/20/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/2/2014	11/20/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/6/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/2/2014	6/6/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/2/2014	7/31/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/2/2014	7/31/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/2/2014	6/6/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/2/2014	6/6/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/6/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/6/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/2/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/2/2014	11/3/2015
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/4/2022
Active	SilverScript Insurance Company	663526	Agent - Health	4/25/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/6/2015	7/31/2018
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	7/31/2018