DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dragomier, John Waite	DOIID	512422	NAIC NPN	3138556

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/18/2011	9/30/2014
Inactive	Non Resident	Agent	Life	8/23/2000	11/30/2004
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	11/8/2011	9/30/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/6/2003	11/30/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/6/2003	11/30/2004
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	8/23/2000	3/8/2004
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	8/23/2000	3/8/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/17/2012	9/24/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/17/2012	9/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/8/2011	9/30/2014