DEPARTMENT OF INSURANCE

Affiliations

Name	Mancilla, Jorge Ivan	DOIID	1002762	NAIC NPN	18805380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/14/2025	1/31/2028
Active	Non Resident	Agent	Health	4/14/2025	1/31/2028
* 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	American General Life Insurance Company	301585	Agent - Health	8/7/2018	11/9/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	8/7/2018	11/9/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/19/2020	1/31/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	1/31/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	1/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/19/2020	1/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/19/2020	1/31/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	1/31/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/22/2020	8/13/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/22/2020	8/13/2021
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	8/17/2018	8/18/2020
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	8/17/2018	8/18/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/30/2020	1/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/1/2019	8/24/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/12/2019	8/26/2020
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/5/2018	1/31/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/12/2019	8/26/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/12/2019	8/26/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/20/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/20/2020	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/20/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/20/2020	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Ethos Technologies Inc.	934675	Agent - Life
Pending	Ethos Technologies Inc.	934675	Agent - Health