DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Valencia, Jorge	DOIID	1003670	NAIC NPN	18864219

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/3/2018		12/31/2024
Active	Non Resident	Agent	Life	8/3/2018		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental American Insurance Company	301700	Agent - Health	8/8/2018
Active	Continental American Insurance Company	301700	Agent - Life	8/8/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/22/2018	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/22/2018	10/8/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/22/2018	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/22/2018	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/22/2018	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Health	10/22/2018	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Life	10/22/2018	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aptia Insurance Services Group LLC	1283785	Agent - Health	3/25/2024
Active	Aptia Insurance Services Group LLC	1283785	Agent - Life	3/25/2024
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	2/1/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	2/1/2019