DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Marcos	DOIID	1132894	NAIC NPN	19859984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/18/2022		9/30/2028
Inactive	Non Resident	Agent	Life	6/7/2021	9/17/2024
Pending Replacement	Non Resident	Agent	Property	5/4/2021		9/30/2026
Pending Replacement	Non Resident	Agent	Casualty	5/4/2021		9/30/2026
Pending Replacement	Non Resident	Agent	Health	6/7/2021		9/30/2026
Pending Replacement	Non Resident	Independent Adjuster	Property & Casualty	2/19/2025		9/30/2026
Active	Non Resident	Managing General Agent	Not Applicable	6/9/2022		9/30/2028
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/25/2022	4/1/2024
* 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
Administrator	07/15/2026	09/30/2026	09/25/2026	09/25/2026	Yes
Agent	07/15/2026	09/30/2026
Independent Adjuster	07/15/2026	09/30/2026
Managing General Agent	07/15/2026	09/30/2026	09/30/2026	09/30/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Obsidian Insurance Company	301819	Agent - Casualty	3/2/2022
Pending Replacement	Obsidian Insurance Company	301819	Agent - Health	4/8/2022
Pending Replacement	Obsidian Insurance Company	301819	Agent - Property	3/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Masa Insurance Services Inc.	1133707	Agent - Casualty	6/9/2022
Pending Replacement	Masa Insurance Services Inc.	1133707	Agent - Casualty	9/9/2025
Pending Replacement	Masa Insurance Services Inc.	1133707	Agent - Property	7/31/2024
Pending Replacement	Masa Insurance Services Inc.	1133707	Agent - Property	9/9/2025
Denied	Masa Insurance Services Inc.	1133707	Agent - Life
Pending Replacement	Masa Insurance Services Inc.	1133707	Agent - Health	7/31/2024
Active	Masa Insurance Services Inc.	1133707	Managing General Agent - Not Applicable	6/9/2022
Active	Masa Insurance Services Inc.	1133707	Administrator - Not Applicable	3/2/2022
Inactive	Masa Insurance Services Inc.	1133707	Surplus Lines Broker - Not Applicable	7/1/2022	4/1/2024
Pending Replacement	Masa Insurance Services Inc.	1133707	Independent Adjuster - Property & Casualty	2/24/2025