DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Northway, Diane	DOIID	769697	NAIC NPN	6899284

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/29/2011	6/30/2022
Inactive	Non Resident	Agent	Life	11/29/2011	6/30/2022
* 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	7/15/2014	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/15/2014	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2014	8/30/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/15/2014	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019	6/30/2022
Denied	Mercer Health & Benefits LLC	607080	Agent - Life