DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mudge, Bonnie L	DOIID	1091308	NAIC NPN	19579766

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/29/2020		11/30/2026
Active	Non Resident	Agent	Life	7/29/2020		11/30/2026
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	9/10/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/10/2020	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/10/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2020	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	7/28/2021	2/21/2022