DEPARTMENT OF INSURANCE

Affiliations

Name	Witzenburg, Dennis L	DOIID	503413	NAIC NPN	2804985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/29/2000	10/12/2009
Inactive	Non Resident	Agent	Health Maintenance Organization	2/29/2000	3/1/2001
Inactive	Non Resident	Agent	Health	2/29/2000	10/12/2009
* 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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/3/2002	10/12/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/3/2002	10/12/2009
Inactive	Canada Life Assurance Company	301192	Agent - Health	2/20/2003	12/14/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	2/20/2003	12/14/2004
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	7/9/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/1/2004	7/2/2007
Inactive	Life Insurance Company of North America	300711	Agent - Health	11/13/2000	10/12/2009
Inactive	Life Insurance Company of North America	300711	Agent - Life	11/13/2000	10/12/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	10/12/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	10/12/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/26/2001	11/17/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/26/2001	11/17/2008
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	2/29/2000	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	2/29/2000	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	2/29/2000	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	1/5/2001	12/20/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	1/5/2001	12/20/2004
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/10/2001	11/22/2005
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	10/2/2003	11/16/2008
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	10/2/2003	11/16/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/6/2002	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/6/2002	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	10/12/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	10/12/2009
Inactive	Medlink Inc	400721	Agent - Life	6/18/2002	10/12/2009
Inactive	Medlink Inc	400721	Agent - Health	6/18/2002	10/12/2009