DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Sandra Patricia	DOIID	1120379	NAIC NPN	16743087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/31/2023		4/30/2025
Active	Non Resident	Agent	Health	8/31/2023		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	7/19/2022	3/30/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/17/2021	6/23/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/19/2022	3/30/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/20/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	3/20/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/19/2022	3/30/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/19/2022	3/30/2023
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	6/17/2022	4/30/2023
Active	SilverScript Insurance Company	663526	Agent - Health	3/20/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/10/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/10/2023

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