DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ulloa, Rubenia Maria	DOIID	1138457	NAIC NPN	12699040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/8/2021		1/31/2026
Active	Non Resident	Agent	Life	6/8/2021		1/31/2026
* 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	6/14/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/14/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/14/2021
Active	SilverScript Insurance Company	663526	Agent - Health	6/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health	2/21/2025
Pending	Risk Placement Services Inc	509419	Agent - Life
Active	Risk Placement Services Inc	509419	Agent - Health	2/21/2025