DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

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