DEPARTMENT OF INSURANCE

Affiliations

Name	Patin, Dwayne Michael	DOIID	843951	NAIC NPN	8473651

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/1/2019	9/30/2022
Inactive	Non Resident	Agent	Life	7/1/2019	9/30/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/27/2014	9/30/2018
Inactive	Aetna Health Insurance Company	301583	Agent - Health	8/27/2014	9/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/27/2014	9/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/27/2014	9/30/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/16/2019	9/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/16/2019	4/27/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/16/2019	4/27/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/30/2019	4/6/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/17/2014	9/30/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/15/2014	9/30/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/23/2020	4/6/2021
Inactive	Humana Insurance Company	301104	Agent - Health	10/2/2019	4/6/2021
Inactive	Humana Insurance Company	301104	Agent - Life	10/2/2019	4/6/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/9/2019	4/6/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/10/2019	4/26/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	4/26/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/10/2019	4/26/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/10/2019	4/26/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/12/2020	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/12/2020	12/29/2021

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 - Life	7/29/2019	4/27/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/29/2019	4/28/2021