DEPARTMENT OF INSURANCE
Affiliations
NameDorak, Timothy DOIID1093739NAIC NPN19596337
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife8/13/20202/28/2022 
InactiveNon ResidentAgentHealth8/13/20202/28/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/21/20201/26/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Life8/21/20201/26/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/21/20201/26/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/21/20201/26/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePaychex Insurance Agency Inc509469Agent - Life9/9/202012/6/2021
InactivePaychex Insurance Agency Inc509469Agent - Health9/9/202012/6/2021

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