DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dame III, Harold L	DOIID	885533	NAIC NPN	8952723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/4/2015		10/31/2025
Active	Non Resident	Agent	Life	8/4/2015		10/31/2025
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	8/7/2015	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/7/2015	3/23/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/11/2017	7/12/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/7/2015	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/11/2017	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/11/2017	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/11/2017	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/7/2015	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/12/2015	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/11/2017	7/12/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/11/2017	7/12/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/7/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/7/2015	10/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/21/2019	7/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	8/14/2015	4/8/2017
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	8/14/2015	4/8/2017