DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Juan Manuel	DOIID	1047623	NAIC NPN	8804688

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/16/2019	2/28/2021
Inactive	Non Resident	Agent	Health	7/16/2019	2/28/2021
* 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	American National Insurance Company	301861	Agent - Life	7/18/2019	2/28/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	5/5/2020	2/28/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/5/2020	2/28/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/30/2020	6/24/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/30/2020	6/24/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	11/15/2019	1/7/2020
Denied	Willis Of Illinois Inc	398318	Agent - Health
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Life	2/1/2020	2/28/2021
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Health	2/1/2020	2/28/2021