DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilder Dale, Daphne	DOIID	928298	NAIC NPN	18045732

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/9/2016	7/31/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/29/2016	7/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/29/2016	7/31/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/24/2017	4/16/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/20/2016	12/14/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/29/2016	7/31/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/24/2017	4/16/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/20/2016	12/14/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/24/2017	4/16/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2017	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/20/2016	12/14/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/24/2017	4/16/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/14/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/5/2016	12/8/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/5/2016	12/8/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/5/2016	12/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	9/30/2016	12/9/2016