DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Berge, Douglas P	DOIID	1360007	NAIC NPN	8939212

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/6/2024		4/30/2026
Active	Non Resident	Agent	Life	9/6/2024		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/14/2024	12/12/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/14/2024	12/12/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/14/2024	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/14/2024	12/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Unified Growth Partners	1338837	Agent - Life
Inactive	Unified Growth Partners	1338837	Agent - Health	10/17/2024	11/15/2024