DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Staten, Victor Dustin	DOIID	803754	NAIC NPN	16274013

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/28/2016	10/31/2018
Inactive	Non Resident	Agent	Life	2/15/2013	11/6/2013
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/11/2016	10/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/1/2013	8/12/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/1/2013	8/12/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/16/2013	10/29/2013
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2013	10/29/2013
Inactive	Humana Insurance Company	301104	Agent - Life	8/16/2013	10/29/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/16/2013	10/29/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/16/2013	10/29/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/1/2013	1/16/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/1/2013	1/16/2014
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	5/13/2013	9/12/2013

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	10/11/2016	10/31/2018