DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Hazel Sheldon	DOIID	1060488	NAIC NPN	8203399

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/11/2019		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/30/2022	8/10/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/4/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/30/2022	8/10/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/4/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/20/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	4/22/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/7/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/30/2022	8/10/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/4/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/7/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/14/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/14/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/7/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/9/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/9/2020	12/29/2021

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 - Health	11/20/2019	4/23/2024