DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Petrillo, Alexander M	DOIID	892777	NAIC NPN	17234382

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/24/2015	5/31/2023
Inactive	Non Resident	Agent	Health	9/24/2015	5/31/2023
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	8/16/2022	11/16/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/16/2022	11/16/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/23/2015	4/17/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/23/2015	4/17/2017
Inactive	National Health Insurance Company	300554	Agent - Health	9/2/2016	5/2/2017
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/12/2015	4/27/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/23/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/23/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/23/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	8/16/2022	11/16/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	8/16/2022	11/16/2022