DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Berartez, Isabel	DOIID	1160300	NAIC NPN	16178766

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/21/2021		6/30/2024
Pending Replacement	Non Resident	Agent	Life	9/21/2021		6/30/2024
* 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
Agent	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	3/1/2022	3/23/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	3/1/2022	3/23/2022
Pending Replacement	Boston Mutual Life Insurance Company	300143	Agent - Health	5/20/2022
Pending Replacement	Boston Mutual Life Insurance Company	300143	Agent - Life	5/20/2022
Pending Replacement	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/23/2023
Pending Replacement	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/23/2023
Pending Replacement	Continental American Insurance Company	301700	Agent - Health	6/14/2023
Pending Replacement	Continental American Insurance Company	301700	Agent - Life	6/14/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/21/2021	2/9/2024
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Health	9/30/2021
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Life	9/30/2021
Pending Replacement	Starmount Life Insurance Company	628031	Agent - Health	9/30/2021
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Health	9/30/2021
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Life	9/30/2021
Pending Replacement	Unum Insurance Company	301499	Agent - Health	9/30/2021
Pending Replacement	Unum Insurance Company	301499	Agent - Life	9/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forum Benefits, LLC	1115625	Agent - Life	6/16/2022	4/4/2023
Inactive	Forum Benefits, LLC	1115625	Agent - Health	6/16/2022	4/4/2023