DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Jeanette	DOIID	1050729	NAIC NPN	17104860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/8/2019	9/30/2022
Inactive	Non Resident	Agent	Life	8/8/2019	9/30/2022
* 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	3/16/2022	9/30/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/16/2022	9/30/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/16/2022	9/30/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Health	8/15/2019	5/18/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Life	8/15/2019	5/18/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/16/2022	9/30/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/30/2020	9/25/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/30/2020	9/25/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/26/2019	8/18/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	9/10/2019	8/18/2020
Inactive	Sutherland Global Services Inc	601788	Agent - Health	9/10/2019	5/18/2020