DEPARTMENT OF INSURANCE
Affiliations
NameSurface, Scott DienerDOIID307790NAIC NPN1464608
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife8/9/2002 2/28/2026
ActiveNon ResidentAgentHealth8/9/2002 2/28/2026
* 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
Agent12/15/202502/28/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health8/9/2017 
ActiveAetna Health and Life Insurance Company300523Agent - Health1/31/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/9/2017 
ActiveAetna Life Insurance Company301140Agent - Life8/9/2017 
ActiveAllianz Life Insurance Company of North America301791Agent - Life8/3/2021 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life9/16/202012/30/2024
InactiveAmerican Franklin Life Insurance Company (The)301025Agent - Health3/12/199612/18/2000
InactiveAmerican Franklin Life Insurance Company (The)301025Agent - Life3/12/199612/18/2000
ActiveAmerican Life & Security Corp1055058Agent - Life8/7/2024 
ActiveAmerican National Insurance Company301861Agent - Life6/23/2020 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/2021 
InactiveAnthem Life Insurance Company301209Agent - Health8/9/20024/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life8/9/20024/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/21/2024 
InactiveAthene Annuity and Life Company301893Agent - Life9/19/20083/2/2011
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/14/2019 
InactiveCompBenefits Dental, Inc.591692Agent - Health6/17/201412/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health12/15/200911/23/2011
InactiveCompBenefits Insurance Company301864Agent - Life12/15/200911/23/2011
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/10/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life2/22/2021 
InactiveDental Concern Inc. (The)301641Agent - Health6/17/201412/8/2015
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/9/2024 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health12/10/2010 
InactiveForethought Life Insurance Company301407Agent - Health2/20/201312/29/2016
InactiveFranklin Life Insurance Company (The)300779Agent - Health2/20/199612/18/2000
InactiveFranklin Life Insurance Company (The)300779Agent - Life2/20/199612/18/2000
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health10/6/201412/28/2016
InactiveGenworth Life Insurance Company300623Agent - Health6/30/201012/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life6/30/201012/7/2012
ActiveGerber Life Insurance Company300529Agent - Health2/8/2017 
ActiveGerber Life Insurance Company300529Agent - Life2/8/2017 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health4/12/20112/19/2015
InactiveGuarantee Trust Life Insurance Company301043Agent - Life4/12/20112/19/2015
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20144/29/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/17/20142/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health6/17/20146/15/2018
ActiveHumana Insurance Company301104Agent - Health10/30/2019 
InactiveHumana Insurance Company301104Agent - Life6/17/20144/29/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/17/20146/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/17/20146/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20146/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20166/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health2/7/20082/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life2/7/20082/23/2012
InactiveIndianapolis Life Insurance Company301381Agent - Life8/7/200710/1/2008
InactiveKanawha Insurance Company300127Agent - Health6/17/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/17/201410/22/2015
InactiveMedico Corp Life Insurance Company301777Agent - Health11/30/20163/15/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life11/30/20163/15/2018
ActiveMedico Insurance Company301559Agent - Health7/10/2023 
ActiveMedico Insurance Company301559Agent - Life7/10/2023 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/10/2025 
InactiveMutual of Omaha Insurance Company301012Agent - Health7/22/201012/26/2012
ActiveNorth American Company for Life and Health Insurance300291Agent - Life5/19/2020 
InactivePHL Variable Insurance Company300525Agent - Life1/5/201712/4/2020
InactivePacifiCare Life and Health Insurance Company301304Agent - Health2/2/200611/4/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life2/2/20067/17/2012
ActiveSilverScript Insurance Company663526Agent - Health10/29/2018 
InactiveStandard Life and Accident Insurance Company301534Agent - Health2/1/20079/1/2014
InactiveStandard Life and Accident Insurance Company301534Agent - Life2/1/20079/1/2014
InactiveState Life Insurance Company301497Agent - Health7/11/20106/7/2023
InactiveState Life Insurance Company301497Agent - Life7/11/20106/7/2023
InactiveTime Insurance Company300683Agent - Health3/1/200712/29/2008
InactiveTime Insurance Company300683Agent - Life3/1/200712/29/2008
ActiveUnited Home Life Insurance Company300421Agent - Life2/9/2021 
InactiveUnited World Life Insurance Company300532Agent - Health7/9/201911/23/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/10/20173/22/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/10/20173/22/2018
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/16/2020 
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/8/20093/20/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/20/2017
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health4/16/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/16/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/16/2020 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/30/2021
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Health7/28/20084/29/2010
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health12/3/2024 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/7/2019 
ActiveWellpoint Life and Health Insurance Company300469Agent - Health8/2/2007 
ActiveWellpoint Life and Health Insurance Company300469Agent - Life8/2/2007 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life8/27/20026/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/27/20026/23/2008
ActiveDesignated Agent Company Inc.681257Agent - Life6/30/2008 
ActiveDesignated Agent Company Inc.681257Agent - Health6/30/2008 
ActiveSurface Financial Grp Inc846737Agent - Life7/29/2014 
ActiveSurface Financial Grp Inc846737Agent - Health7/29/2014 

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