DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dewitt, Harold Richard	DOIID	771071	NAIC NPN	10977882

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/20/2011	9/30/2018
Inactive	Non Resident	Agent	Life	12/20/2011	9/30/2018
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	8/15/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/15/2014	12/8/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/11/2013	11/22/2016
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	10/9/2014	12/28/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/1/2012	11/12/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/1/2012	11/12/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/15/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/15/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	8/15/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/15/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/15/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/15/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/15/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/15/2014	10/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/14/2016	9/30/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/8/2013	2/27/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/8/2013	2/27/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	2/27/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	12/22/2011	12/8/2015
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	12/22/2011	9/30/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	12/8/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	9/30/2018