DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Guzman, Javier	DOIID	1089805	NAIC NPN	1268691

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/20/2020		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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/4/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/4/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/28/2020	10/27/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/2/2020	12/9/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/4/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/4/2020
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/5/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/5/2020

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	7/28/2020	10/28/2020