DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mendoza, Milagro	DOIID	1006991	NAIC NPN	16395629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/27/2022		7/31/2025
Active	Non Resident	Agent	Life	9/27/2022		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	7/27/2020	7/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/29/2018	7/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/29/2018	7/31/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	9/19/2019	7/31/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/29/2018	7/31/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/29/2018	7/31/2021
Inactive	Unum Insurance Company	301499	Agent - Health	10/29/2018	7/31/2021
Inactive	Unum Insurance Company	301499	Agent - Life	10/29/2018	7/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Life
Denied	Optavise, LLC	671337	Agent - Health