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
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