DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Jose Ramon	DOIID	1055816	NAIC NPN	6758016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/20/2022	4/30/2024
Inactive	Non Resident	Agent	Health	10/20/2022	4/30/2024
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/27/2022	4/30/2022
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/8/2023	4/30/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/10/2020	9/25/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/10/2020	9/25/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	11/5/2019	2/12/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/23/2019	4/30/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/23/2019	4/30/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/30/2020	4/30/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/30/2020	4/30/2022
Inactive	Starmount Life Insurance Company	628031	Agent - Health	9/23/2019	4/30/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/23/2019	2/16/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/23/2019	2/16/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/23/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/23/2019	10/1/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/23/2019	4/30/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/23/2019	4/30/2022
Inactive	Unum Insurance Company	301499	Agent - Health	9/23/2019	4/30/2022
Inactive	Unum Insurance Company	301499	Agent - Life	9/23/2019	4/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Life
Denied	Optavise, LLC	671337	Agent - Health