DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Staton, Melissa Amos	DOIID	779048	NAIC NPN	16606469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/15/2012		10/31/2026
Active	Resident	Agent	Life	6/15/2012		10/31/2026
* 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	1/24/2013	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/12/2012	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/12/2012	6/26/2013
Active	Dental Concern Inc. (The)	301641	Agent - Health	1/24/2013
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/12/2012
Active	Humana Insurance Company	301104	Agent - Health	6/15/2012
Active	Humana Insurance Company	301104	Agent - Life	6/15/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/12/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/12/2012	11/12/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/12/2012	11/12/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/6/2015	7/1/2020
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	7/1/2020