DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Dorothy	DOIID	852511	NAIC NPN	17133421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/17/2014	3/31/2016
* 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	10/14/2014	3/31/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2015	12/8/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/24/2015	12/8/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/24/2015	12/8/2015
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	3/4/2015	3/31/2016

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	10/14/2014	3/31/2016