DEPARTMENT OF INSURANCE

Affiliations

Name	Willden, Dennis Mark	DOIID	879663	NAIC NPN	5446400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/4/2015	6/30/2026
Active	Non Resident	Agent	Health	6/4/2015	6/30/2026
* 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	04/15/2024	06/30/2024	04/11/2024	04/11/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/21/2015
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/29/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/21/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	7/21/2015
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/10/2015
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2021
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/9/2015
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/8/2018
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/8/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/8/2015	3/23/2016
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/9/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/8/2015	3/23/2016
Active	First Health Life & Health Insurance Company	301735	Agent - Health	7/21/2015
Active	Golden Rule Insurance Company	301943	Agent - Health	3/27/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	3/27/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/6/2017
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/6/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/8/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/8/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/8/2015	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	7/8/2015	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/8/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/8/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/8/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/8/2015	10/22/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/14/2015	12/27/2022
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	8/26/2015	6/25/2021
Active	Monitor Life Insurance Company of New York	1117550	Agent - Health	2/15/2023
Active	Monitor Life Insurance Company of New York	1117550	Agent - Life	2/15/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/3/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2015
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/19/2015	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/30/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/20/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Extend Insurance Services, LLC	625753	Agent - Health	7/13/2015
Active	Extend Insurance Services, LLC	625753	Agent - Life	7/13/2015