DEPARTMENT OF INSURANCE

Affiliations

Name	Dick, Mason G	DOIID	946248	NAIC NPN	16670460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/1/2017	9/30/2026
Active	Non Resident	Agent	Health	3/1/2017	9/30/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/21/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/21/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	6/21/2017
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/23/2018	12/10/2018
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	6/23/2017
Active	First Health Life & Health Insurance Company	301735	Agent - Health	6/21/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/23/2017	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	8/23/2017	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/23/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/23/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/23/2018	12/10/2018
Inactive	Omaha Health Insurance Company	301296	Agent - Health	3/29/2019	12/27/2024
Active	SilverScript Insurance Company	663526	Agent - Health	11/1/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2017	2/21/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2017	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2017	2/21/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/10/2018	8/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	2/26/2021
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	2/26/2021