DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Andres Emmanuel	DOIID	1084826	NAIC NPN	18448855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/8/2022		11/30/2024
Active	Non Resident	Agent	Health	5/28/2020		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/3/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/3/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/3/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/6/2022	5/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/6/2022	5/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/6/2022	5/25/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/6/2022	5/25/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/2/2020	6/21/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/10/2021	6/21/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/12/2020	6/21/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/7/2020	6/21/2022
Active	SilverScript Insurance Company	663526	Agent - Health	8/3/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/26/2020	7/23/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/26/2020	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	6/11/2020	6/22/2022
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/20/2022
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Denied	Healthinsurance.Com, LLC	1082129	Agent - Life
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022
Denied	Togetherhealth Insurance LLC	1026438	Agent - Life