DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzalez, Jacob	DOIID	1012379	NAIC NPN	18911538

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/28/2018	10/31/2022
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	10/31/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/12/2019	7/7/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/10/2019	10/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/12/2019	7/7/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/16/2018	1/15/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	1/15/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	1/15/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/8/2018	12/12/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	1/15/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/10/2019	10/31/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/12/2019	7/7/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/20/2018	12/12/2022
Inactive	Humana Insurance Company	301104	Agent - Health	11/6/2018	12/12/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/16/2018	12/12/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/6/2018	12/15/2020
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	4/3/2020	10/31/2022
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/7/2021	10/20/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/19/2019	7/7/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/12/2018	1/19/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	11/12/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	1/19/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/12/2018	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/12/2018	1/19/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/20/2019	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/17/2018	10/31/2022
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	10/16/2018	12/10/2021