DEPARTMENT OF INSURANCE

Affiliations

Name	Fajardo, William Javier	DOIID	1101026	NAIC NPN	19637777

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/21/2023		3/31/2027
* 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	01/15/2025	03/31/2025	03/17/2025	03/17/2025	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	8/25/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/20/2022	3/25/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/8/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/25/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/25/2023	4/2/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/25/2023	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/25/2023	4/2/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/28/2020	10/20/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/21/2023	3/11/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/25/2023	4/2/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/20/2022	3/25/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/4/2020	10/20/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/22/2020	10/20/2021
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2020	10/20/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/25/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/21/2023	3/11/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/2/2022	9/29/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/13/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/21/2023	3/11/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/27/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/7/2020	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	7/22/2022	3/2/2023