DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fatu-Van Dyke, Corren	DOIID	930455	NAIC NPN	18071100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/31/2017	2/28/2019
Inactive	Non Resident	Agent	Health	9/22/2016	2/28/2019
* 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	11/20/2018	3/26/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/20/2018	3/26/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/22/2016	10/19/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/22/2016	10/19/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/22/2016	10/19/2016

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 - Health	11/20/2018	3/26/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/20/2018	3/26/2019