DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boone Insurance Group, LLC	DOIID	764408	NAIC NPN	16399752

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/22/2011	3/31/2013
Inactive	Resident	Agent	Health	9/22/2011	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	UnitedHealthcare Insurance Company	300946	Agent - Health	10/11/2011	3/31/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/11/2011	3/31/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/11/2011	3/31/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/11/2011	3/31/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boone, Connie G	310533	Agent - Health	9/22/2011	3/31/2013
Inactive	Boone, Connie G	310533	Agent - Life	9/22/2011	3/31/2013