DEPARTMENT OF INSURANCE

Affiliations

Name	Velazquez, Jacqueline Bernadette	DOIID	778742	NAIC NPN	8989400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/9/2017	5/31/2026
Active	Non Resident	Agent	Health	8/9/2017	5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/16/2017
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/29/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/17/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/16/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	8/16/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	12/29/2018	8/11/2021
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/21/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/21/2017	7/12/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/21/2017	7/12/2018
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/6/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/6/2017
Inactive	CMFG Life Insurance Company	300929	Agent - Life	5/13/2020	2/10/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/5/2020	12/9/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/10/2012	5/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/25/2015	5/31/2016
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/29/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/15/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/2/2020	9/29/2020
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/20/2012	2/29/2016
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/16/2017
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	5/15/2020	4/25/2024
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	5/15/2020	4/25/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/24/2012	4/3/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/24/2012	4/3/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/2/2015	5/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/2/2015	5/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/2/2015	5/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/6/2017	7/5/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/2/2015	5/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/2/2015	5/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/2/2015	5/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/2/2015	5/31/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/25/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/25/2015	10/22/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Health	2/1/2023	10/29/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/1/2019	2/9/2024
Active	MEMBERS Life Insurance Company	301289	Agent - Life	12/14/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/20/2012	7/22/2013
Active	SilverScript Insurance Company	663526	Agent - Health	9/20/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	6/4/2012	5/31/2016
Active	Tier One Insurance Company	301056	Agent - Life	11/22/2023
Inactive	Time Insurance Company	300683	Agent - Health	5/24/2012	6/13/2013
Inactive	Time Insurance Company	300683	Agent - Life	5/24/2012	6/13/2013
Active	United World Life Insurance Company	300532	Agent - Health	2/1/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/1/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/30/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/30/2017	7/2/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/30/2020	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/30/2020	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/25/2014	10/28/2014
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/30/2020	2/21/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/11/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/10/2020	12/30/2021

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	9/21/2017	7/12/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/21/2017	7/12/2018