DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gopito, Tendai	DOIID	896339	NAIC NPN	17690883

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/26/2018	5/31/2020
Inactive	Non Resident	Agent	Health	10/23/2015	5/31/2020
Inactive	Non Resident	Agent	Property	3/26/2018	5/31/2020
* 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	Allstate Indemnity Company	300778	Agent - Casualty	5/9/2018	6/26/2018
Inactive	Allstate Indemnity Company	300778	Agent - Property	5/9/2018	6/26/2018
Inactive	Allstate Insurance Company	300773	Agent - Casualty	5/9/2018	6/26/2018
Inactive	Allstate Insurance Company	300773	Agent - Property	5/9/2018	6/26/2018
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	5/9/2018	6/26/2018
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	5/9/2018	6/26/2018
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/9/2018	6/26/2018
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/9/2018	6/26/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/28/2016	11/2/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/28/2016	11/2/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/28/2016	11/2/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2016	11/2/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/28/2016	11/2/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/28/2016	11/2/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/23/2015	12/15/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/23/2015	12/15/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/23/2015	12/15/2015

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