DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Briceno Miss, Adriana Carolina	DOIID	1015674	NAIC NPN	18754151

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/19/2018		10/31/2024
Active	Non Resident	Agent	Health	10/19/2018		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	5/2/2023
Inactive	Federal Insurance Company	301144	Agent - Health	1/8/2019	4/26/2023
Inactive	Federal Life Insurance Company	300945	Agent - Health	5/2/2023	9/5/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/15/2018	11/30/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/15/2018	11/30/2018
Active	Golden Rule Insurance Company	301943	Agent - Health	9/27/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	9/27/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	7/22/2019	7/20/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	1/10/2019	6/15/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/13/2019	4/26/2023
Active	Unified Life Insurance Company	543169	Agent - Health	4/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/15/2018	11/30/2018
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/15/2018	11/30/2018