DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

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