DEPARTMENT OF INSURANCE
Affiliations
NameDick, Mason GDOIID946248NAIC NPN16670460
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/1/2017 9/30/2024
ActiveNon ResidentAgentLife3/1/2017 9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health6/21/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health6/21/2017 
ActiveAetna Life Insurance Company301140Agent - Life6/21/2017 
InactiveArcadian Health Plan, Inc.728196Agent - Health8/23/201812/10/2018
ActiveCoventry Health and Life Insurance Company301771Agent - Health6/23/2017 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health6/21/2017 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health8/23/201812/10/2018
InactiveHumana Health Plan, Inc.300142Agent - Health8/23/201812/10/2018
InactiveHumana Insurance Company301104Agent - Health8/23/201712/13/2022
InactiveHumana Insurance Company301104Agent - Life8/23/201712/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/23/20176/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/23/20176/8/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health8/23/201812/10/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health8/23/201812/10/2018
ActiveOmaha Health Insurance Company301296Agent - Health3/29/2019 
ActiveSilverScript Insurance Company663526Agent - Health11/1/2017 
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/11/20172/21/2022
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201712/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/20192/21/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/20172/21/2022
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/18/201912/29/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/10/20188/26/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveSmart Match Insurance Agency LLC829381Agent - Life2/26/2021 
ActiveSmart Match Insurance Agency LLC829381Agent - Health2/26/2021 

© Commonwealth of Kentucky. All rights reserved.