DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Melido Jose	DOIID	1088526	NAIC NPN	10928260

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/8/2020		10/31/2026
* 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	08/15/2024	10/31/2024	09/25/2024	09/25/2024	Yes

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	9/13/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/8/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/13/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/13/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/10/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/21/2021	5/6/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/10/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/9/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/10/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/8/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/7/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/10/2022	7/2/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/11/2024
Active	Humana Insurance Company	301104	Agent - Health	11/4/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	6/2/2022
Active	SilverScript Insurance Company	663526	Agent - Health	9/13/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/12/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/12/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/12/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/15/2022	5/30/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/5/2020	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	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/15/2024
Active	Gohealth LLC	691445	Agent - Health	7/24/2024