DEPARTMENT OF INSURANCE

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	08/06/2024	08/06/2024	Yes

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
Active	Anthem Life Insurance Company	301209	Agent - Health	10/25/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	10/25/2023
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