DEPARTMENT OF INSURANCE

Affiliations

Name	Prince Health Agency	DOIID	1159470	NAIC NPN	20051060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/16/2021	8/1/2022
Inactive	Non Resident	Agent	Health	9/16/2021	8/1/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pennington, Kaytlyn	1124067	Agent - Health	9/16/2021	5/31/2022
Inactive	Pennington, Kaytlyn	1124067	Agent - Life	9/16/2021	5/31/2022