DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	De La Grange, Patrick	DOIID	1012054	NAIC NPN	17900532

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/26/2018	2/28/2022
Inactive	Non Resident	Agent	Life	9/26/2018	2/28/2022
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	2/28/2022
Inactive	Humana Insurance Company	301104	Agent - Health	12/4/2019	8/6/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/25/2019	2/28/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	11/25/2019	2/28/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/25/2019	2/28/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/25/2019	2/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Trubridge Inc	717747	Agent - Health
Denied	Trubridge Inc	717747	Agent - Life