DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harper, Dustin Wade	DOIID	903237	NAIC NPN	17288224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/6/2016		9/30/2026
Active	Non Resident	Agent	Life	1/6/2016		9/30/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/15/2016
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/21/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/15/2016
Active	Aetna Life Insurance Company	301140	Agent - Life	6/15/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/15/2016	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/15/2016	11/3/2016
Active	First Health Life & Health Insurance Company	301735	Agent - Health	6/15/2016
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/20/2017	11/30/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/20/2017	11/30/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/18/2022	11/30/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/21/2018	11/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/15/2016	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/15/2016	11/2/2016