DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blunt, Antoinette Denise	DOIID	1021961	NAIC NPN	17066943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/11/2018	11/30/2021
Inactive	Non Resident	Agent	Casualty	12/11/2018	11/30/2021
Inactive	Non Resident	Agent	Health	12/11/2018	11/30/2021
Inactive	Non Resident	Agent	Life	12/11/2018	11/30/2021
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	12/21/2018	1/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/21/2018	1/31/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/21/2018	1/31/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/21/2018	1/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis of Connecticut LLC	566166	Agent - Health	1/3/2019	12/30/2019
Denied	Willis of Connecticut LLC	566166	Agent - Casualty
Denied	Willis of Connecticut LLC	566166	Agent - Property
Inactive	Willis of Connecticut LLC	566166	Agent - Life	1/3/2019	12/30/2019