DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Juan	DOIID	1061760	NAIC NPN	18897125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/18/2019	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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/30/2019	9/30/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	11/13/2019	12/14/2020
Inactive	Federal Insurance Company	301144	Agent - Health	11/12/2019	9/30/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/1/2019	10/5/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/2/2020	9/30/2021