DEPARTMENT OF INSURANCE

Affiliations

Name	Gutierrez, Monserratt	DOIID	1147797	NAIC NPN	16756523

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/28/2025	11/30/2027
Active	Non Resident	Agent	Health	6/25/2024	11/30/2027
Active	Non Resident	Agent	Casualty	10/28/2025	11/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025	10/24/2025	10/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/29/2024	12/12/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/29/2024	12/12/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/29/2024	12/12/2024
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	10/29/2025
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	10/29/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/8/2021	12/11/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/11/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/11/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/4/2024	8/13/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/11/2021
Active	Homesite Insurance Company	301139	Agent - Casualty	10/29/2025
Active	Homesite Insurance Company	301139	Agent - Property	10/29/2025
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	10/29/2025
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	10/29/2025
Inactive	Independence American Insurance Company	524747	Agent - Health	8/9/2021	12/21/2021
Active	Midvale Indemnity Company	300292	Agent - Casualty	10/29/2025
Active	Midvale Indemnity Company	300292	Agent - Property	10/29/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/29/2024	12/12/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/4/2024	8/13/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/4/2021	12/22/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/4/2021	12/22/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/4/2024	8/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	11/14/2025
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	11/14/2025