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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
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