DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pettinari, Domenico G	DOIID	876724	NAIC NPN	10928001

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/18/2016		4/30/2026
Active	Non Resident	Agent	Health	7/18/2016		4/30/2026
Active	Non Resident	Agent	Life	7/18/2016		4/30/2026
Active	Non Resident	Agent	Property	7/18/2016		4/30/2026
* 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	5/4/2015	4/11/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/4/2015	4/11/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/4/2015	4/11/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/4/2015	4/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Paychex Insurance Agency Inc	509469	Agent - Casualty
Denied	Paychex Insurance Agency Inc	509469	Agent - Property
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	5/11/2015	4/11/2016
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	5/11/2015	4/11/2016