DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dragon, Deborah E	DOIID	338935	NAIC NPN	7186592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	3/4/1999	3/1/2001
Inactive	Resident	Agent	Life	3/4/1999	12/31/2012
Inactive	Resident	Agent	Health	3/4/1999	12/31/2012
* 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	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/4/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	3/4/1999	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	3/4/1999	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	9/8/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Northern Kentucky Inc.	398394	Agent - Life	5/27/1999	5/31/2004
Inactive	Acordia of Northern Kentucky Inc.	398394	Agent - Health	5/27/1999	5/31/2004
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/7/2010	9/8/2010
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/7/2010	9/8/2010
Inactive	Wells Fargo Ins Services Of Ohio LLC	521675	Agent - Life	1/8/2004	3/15/2010
Inactive	Wells Fargo Ins Services Of Ohio LLC	521675	Agent - Health	1/8/2004	3/12/2010