DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pernice, Denise	DOIID	780246	NAIC NPN	3759349

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/26/2012		11/30/2025
Active	Non Resident	Agent	Health	4/26/2012		11/30/2025
* 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	American United Life Insurance Company	300498	Agent - Health	8/5/2012	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	8/5/2012	9/29/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/22/2015	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/22/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/22/2015	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	7/22/2015	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/22/2015	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/22/2015	12/19/2019
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	6/7/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	6/7/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	6/7/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Life	6/7/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits LLC	607080	Agent - Health	8/5/2012
Active	Mercer Health & Benefits LLC	607080	Agent - Life	8/5/2012