DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perrine, Justin R	DOIID	1156609	NAIC NPN	16527094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/3/2021		9/30/2026
Active	Non Resident	Agent	Health	9/3/2021		9/30/2026
* 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
Active	All Savers Insurance Company	301940	Agent - Health	8/23/2024
Active	All Savers Insurance Company	301940	Agent - Life	8/23/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/25/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/25/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/25/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/25/2023	4/15/2025
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	8/7/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/7/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/7/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/1/2021
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2021
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Life	10/1/2021
Active	Paychex Insurance Agency Inc	509469	Agent - Health	10/1/2021