DEPARTMENT OF INSURANCE
Affiliations
NameBustamante, Raul DOIID1111917NAIC NPN9318162
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife8/23/2023 3/31/2026
ActiveNon ResidentAgentHealth8/23/2023 3/31/2026
InactiveNon ResidentStaff AdjusterProperty & Casualty11/24/20203/31/2024 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health12/29/20231/22/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health12/29/20231/22/2025
InactiveAetna Life Insurance Company301140Agent - Health12/29/20231/22/2025
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/13/20232/14/2025
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/13/20232/14/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health12/13/20232/14/2025
InactiveSilverScript Insurance Company663526Agent - Health12/29/20231/22/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedTZ Insurance Solutions LLC727470Agent - Life  
InactiveTZ Insurance Solutions LLC727470Agent - Health1/23/20245/2/2024
DeniedTrubridge Inc717747Agent - Life  
InactiveTrubridge Inc717747Agent - Health12/13/20234/10/2024

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