PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Dwight DOIID736069NAIC NPN3049856
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/1/20108/31/2022 
InactiveNon ResidentAgentCasualty9/1/20108/31/2022 
InactiveNon ResidentAgentHealth9/1/20108/31/2022 
InactiveNon ResidentAgentProperty9/1/20108/31/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Heritage Life Insurance Company300272Agent - Health3/23/20112/21/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Life3/23/20112/21/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health3/26/20135/1/2014
InactiveDental Concern Inc. (The)301641Agent - Health3/26/20135/1/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/26/20135/1/2014
InactiveHumana Insurance Company301104Agent - Health3/26/20135/1/2014
InactiveHumana Insurance Company301104Agent - Life3/26/20135/1/2014
InactiveKanawha Insurance Company300127Agent - Health3/26/20135/1/2014
InactiveKanawha Insurance Company300127Agent - Life3/26/20135/1/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUSI Insurance Services National, Inc509421Agent - Health4/29/20112/21/2012
InactiveUSI Insurance Services National, Inc509421Agent - Life4/29/20112/21/2012
DeniedUSI Insurance Services National, Inc509421Agent - Property  
DeniedUSI Insurance Services National, Inc509421Agent - Casualty  
DeniedUsi Insurance Services LLC669260Agent - Health  
DeniedUsi Insurance Services LLC669260Agent - Life  
DeniedUsi Insurance Services LLC669260Agent - Property  
DeniedUsi Insurance Services LLC669260Agent - Casualty  

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