DEPARTMENT OF INSURANCE

Affiliations

Name	Mojica, Fabian	DOIID	1011328	NAIC NPN	18909997

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2018		1/31/2025
* 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	11/15/2024	01/31/2025

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	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/13/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/18/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/18/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/19/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/13/2018
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	5/17/2019	2/20/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/9/2021
Active	Humana Insurance Company	301104	Agent - Health	12/1/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/1/2020	12/15/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/22/2018	11/22/2022
Active	SilverScript Insurance Company	663526	Agent - Health	8/18/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	9/22/2018	11/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/22/2018	11/22/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/31/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/31/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/31/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/31/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/22/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ensurem II LLC	908041	Agent - Health	8/4/2020
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	3/13/2022