DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Donnelly, Adrienne Nicole	DOIID	1157383	NAIC NPN	18161161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/8/2021	12/31/2023
Inactive	Non Resident	Agent	Health	9/8/2021	12/31/2023
* 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	10/19/2021	12/21/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/19/2021	12/21/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/19/2021	12/21/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/19/2021	12/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	10/19/2021	12/19/2023
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	10/19/2021	12/19/2023