DEPARTMENT OF INSURANCE

Affiliations

Name	Divincenzo, David A	DOIID	623435	NAIC NPN	7815173

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	10/23/2006	3/31/2013
Inactive	Non Resident	Agent	Health	1/11/2006	3/31/2013
Inactive	Non Resident	Agent	Life	1/11/2006	3/31/2013
* 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	Aetna Health Inc.	300694	Agent - Health	3/14/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	3/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/14/2006	3/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/14/2006	3/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/15/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	5/8/2007	3/31/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/15/2011	3/31/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/15/2011	3/31/2013
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Personal Lines	12/2/2008	11/4/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Personal Lines	12/2/2008	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Personal Lines	12/2/2008	11/4/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Personal Lines	12/2/2008	11/4/2009
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	2/22/2006	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	2/22/2006	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/22/2006	12/7/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/22/2006	12/7/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Personal Lines	12/2/2008	11/4/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/15/2006	11/15/2011
Inactive	Humana Insurance Company	301104	Agent - Health	5/15/2006	11/15/2011
Inactive	Humana Insurance Company	301104	Agent - Life	5/15/2006	11/15/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/15/2006	11/15/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/15/2006	11/15/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/4/2009	11/15/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/4/2009	11/15/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/4/2009	11/15/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/4/2009	11/15/2011
Inactive	Metropolitan General Insurance Company	300709	Agent - Personal Lines	5/8/2007	3/31/2013
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Personal Lines	12/2/2008	11/4/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	9/26/2006	7/14/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	9/26/2006	7/14/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	9/26/2006	7/14/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	9/26/2006	7/14/2009
Inactive	Time Insurance Company	300683	Agent - Health	4/3/2007	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	4/3/2007	12/29/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Personal Lines	12/2/2008	11/4/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/24/2007	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/24/2007	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/24/2007	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/24/2007	12/15/2009

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 - Health	11/20/2006	2/3/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	11/20/2006	2/3/2012