DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Max Value Insurance Group	DOIID	1045010	NAIC NPN	18744263

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/21/2019	3/31/2023
Inactive	Non Resident	Agent	Life	6/21/2019	3/31/2023
* 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	9/6/2019	3/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/6/2019	3/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/6/2019	3/31/2023
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	2/13/2020	3/31/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/8/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/8/2020	12/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pino, Mario Wilfredo	1035574	Agent - Health	6/21/2019	3/31/2023
Inactive	Pino, Mario Wilfredo	1035574	Agent - Life	6/21/2019	3/31/2023