DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nevitt, Dawn Michele	DOIID	317867	NAIC NPN	7165683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/28/2017	10/1/2018
Inactive	Resident	Agent	Non-profit Health Service	12/30/1998	3/1/2001
Inactive	Resident	Agent	Life	4/4/1996	8/2/1999
* 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	Anthem Life Insurance Company	301209	Agent - Health	4/4/1996	8/2/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/4/1996	8/2/1999
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	3/20/2017	11/17/2017
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Non-profit Health Service	12/30/1998	3/1/2001
Inactive	Dental Choice, Inc.	301702	Agent - Health	3/20/2017	3/12/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	3/1/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Non-profit Health Service	8/9/1999	3/1/2001