DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bustamante, Raul	DOIID	1111917	NAIC NPN	9318162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/23/2023		3/31/2026
Active	Non Resident	Agent	Health	8/23/2023		3/31/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	11/24/2020	3/31/2024
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/29/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/29/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	12/29/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/13/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/13/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/13/2023
Active	SilverScript Insurance Company	663526	Agent - Health	12/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	TZ Insurance Solutions LLC	727470	Agent - Life
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/23/2024	5/2/2024
Denied	Trubridge Inc	717747	Agent - Life
Inactive	Trubridge Inc	717747	Agent - Health	12/13/2023	4/10/2024