DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bayonne, Latrice Ann	DOIID	859573	NAIC NPN	17071109

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/20/2015	8/31/2017
Inactive	Non Resident	Agent	Health	11/4/2014	8/31/2017
* 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	8/24/2015	9/22/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/24/2015	9/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Extend Insurance Services, LLC	625753	Agent - Health
Denied	Extend Insurance Services, LLC	625753	Agent - Life