DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez, Ray Michael	DOIID	1028932	NAIC NPN	19044910

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/5/2024		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/20/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/1/2019	12/15/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/8/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/20/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/5/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	4/24/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/5/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/19/2024
Inactive	Capitol Life Insurance Company	301514	Agent - Health	10/22/2020	3/3/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/8/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/16/2019	4/30/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/5/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/1/2019	12/15/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/11/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	8/19/2020	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/10/2020	12/15/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/5/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/6/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	2/13/2020	3/22/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/8/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/6/2020	1/25/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/6/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/8/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/1/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/1/2020	5/7/2023

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	2/28/2019	5/24/2021
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	2/28/2019	4/30/2020