DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Jill	DOIID	1024111	NAIC NPN	18986638

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/28/2019	7/23/2020
Inactive	Non Resident	Agent	Casualty	5/28/2019	7/23/2020
Inactive	Non Resident	Agent	Health	1/2/2019	7/23/2020
Inactive	Non Resident	Agent	Life	1/2/2019	7/23/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Empyrean Insurance Services, Inc.	662906	Agent - Life
Denied	Empyrean Insurance Services, Inc.	662906	Agent - Health