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DEPARTMENT OF INSURANCE
Affiliations
Name
Perez, Edwin Alex
DOIID
1057843
NAIC NPN
11599476
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
9/25/2019
9/30/2021
Inactive
Non Resident
Agent
Health
9/25/2019
9/30/2021
* 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
Accendo Insurance Company
300312
Agent - Health
9/10/2021
9/30/2021
Inactive
Accendo Insurance Company
300312
Agent - Life
7/21/2020
9/30/2021
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
11/1/2019
9/30/2021
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
7/21/2020
9/30/2021
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/30/2020
9/30/2021
Inactive
Aetna Life Insurance Company
301140
Agent - Health
11/1/2019
9/30/2021
Inactive
American Continental Insurance Company
643130
Agent - Life
7/21/2020
8/11/2021
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
10/17/2019
1/21/2020
Inactive
American General Life Insurance Company
301585
Agent - Health
5/5/2021
9/30/2021
Inactive
American General Life Insurance Company
301585
Agent - Life
5/5/2021
9/30/2021
Inactive
Anthem Life Insurance Company
301209
Agent - Health
7/24/2020
8/17/2021
Inactive
Anthem Life Insurance Company
301209
Agent - Life
7/24/2020
8/17/2021
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
10/3/2019
1/22/2020
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
10/3/2019
1/22/2020
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
7/21/2020
9/30/2021
Inactive
GPM Health and Life Insurance Company
927255
Agent - Health
8/17/2020
9/30/2021
Inactive
Golden Rule Insurance Company
301943
Agent - Health
10/4/2019
12/27/2019
Inactive
Golden Rule Insurance Company
301943
Agent - Life
10/4/2019
12/27/2019
Inactive
SilverScript Insurance Company
663526
Agent - Health
9/28/2019
9/30/2021
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
10/16/2019
9/30/2021
Inactive
Unified Life Insurance Company
543169
Agent - Health
10/8/2019
1/15/2020
Inactive
United Home Life Insurance Company
300421
Agent - Life
12/25/2019
6/1/2020
Inactive
United States Fire Insurance Company
582240
Agent - Health
4/21/2021
9/30/2021
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/9/2020
11/16/2021
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
9/9/2020
11/16/2021
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
9/9/2020
11/16/2021
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/9/2020
11/16/2021
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
7/31/2020
9/30/2021
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
7/31/2020
9/30/2021
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 - Life
7/24/2020
8/17/2021
Inactive
Designated Agent Company Inc.
681257
Agent - Health
7/24/2020
8/17/2021
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
10/9/2019
9/30/2021
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