DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzalez, Susan Jazmine	DOIID	1039529	NAIC NPN	19162060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/7/2019	4/30/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/15/2019	11/3/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	11/3/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021	11/3/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/13/2019	12/15/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021	11/3/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/5/2019	12/15/2020

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	5/15/2019	11/3/2021