DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Ray	DOIID	1015321	NAIC NPN	17260963

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/17/2018		4/30/2025
Active	Non Resident	Agent	Health	10/17/2018		4/30/2025
* 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
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/4/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/4/2021
Active	Combined Insurance Company of America	301472	Agent - Health	6/18/2024
Active	Combined Insurance Company of America	301472	Agent - Life	6/18/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/4/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/4/2022
Active	ReliaStar Life Insurance Company	301712	Agent - Health	6/29/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Life	6/29/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	10/4/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/4/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/4/2022
Active	Unum Insurance Company	301499	Agent - Health	10/4/2022
Active	Unum Insurance Company	301499	Agent - Life	10/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Willis Of Illinois Inc	398318	Agent - Health
Denied	Willis Of Illinois Inc	398318	Agent - Life
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	9/12/2022
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	9/12/2022