DEPARTMENT OF INSURANCE

Name	HumanaDental Insurance Company (TPA)	DOIID	533962	NAIC NPN	7615

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Administrator	Not Applicable	8/16/2001		3/31/2027

*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
Administrator	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	1100 Employers Blvd. De Pere, WI 54115
Mailing	500 West Main Street P.O. Box 1438Louisville, KY 402011438

Phone Information

Type	Phone
Business / Home Office	(800) 664-4140