DEPARTMENT OF INSURANCE

Affiliations

Name	Mendoza, Juan	DOIID	1009358	NAIC NPN	18369555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/29/2023		12/31/2024
Active	Non Resident	Agent	Health	8/29/2023		12/31/2024
Inactive	Non Resident	Agent	Personal Lines	9/25/2021	12/31/2022
* 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
Inactive	AMEX Assurance Company	301728	Agent - Health	2/1/2022	4/28/2022
Inactive	AMEX Assurance Company	301728	Agent - Personal Lines	2/1/2022	4/28/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/5/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/5/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/5/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/10/2018	12/31/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/29/2022	12/31/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/10/2018	12/31/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2018	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	10/15/2018	4/8/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/5/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	10/8/2018	3/30/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2022	12/31/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/29/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/15/2018	1/25/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/29/2022	12/31/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/13/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/13/2023
Inactive	Western United Life Assurance Company	659052	Agent - Health	9/25/2018	7/25/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurant Insurance Agency, Inc	559398	Agent - Life
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Health	10/26/2021	7/29/2022