DEPARTMENT OF INSURANCE

Affiliations

Name	Law, Dennis James	DOIID	970041	NAIC NPN	1288172

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	10/4/2021	4/30/2025
Pending Replacement	Non Resident	Agent	Health	10/4/2021	4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	4/11/2024
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	10/29/2021
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/27/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	10/29/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/18/2021	3/6/2025
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/10/2024
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	8/28/2020	4/30/2021
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	8/28/2020	4/30/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/2/2019	4/30/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/2/2019	4/30/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/8/2018	4/30/2019
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/8/2018	4/30/2019
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	10/29/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/2/2019	4/30/2021
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/4/2023	3/6/2025
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/4/2023	3/6/2025
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/2/2019	4/30/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/2/2019	4/30/2021
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	4/10/2024
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/10/2024
Inactive	Unum Insurance Company	301499	Agent - Health	10/2/2019	4/30/2021
Inactive	Unum Insurance Company	301499	Agent - Life	10/2/2019	4/30/2021
Pending Replacement	Washington National Insurance Company	300587	Agent - Health	9/20/2023
Pending Replacement	Washington National Insurance Company	300587	Agent - Life	9/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Optavise, LLC	671337	Agent - Health	11/4/2021
Pending Replacement	Optavise, LLC	671337	Agent - Life	11/4/2021