DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Miguel	DOIID	1162573	NAIC NPN	19845152

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2021		2/28/2026
Active	Non Resident	Agent	Life	9/29/2021		2/28/2026
* 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	12/15/2025	02/28/2026

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	12/6/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/6/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	12/6/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/9/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/25/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	5/8/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/27/2025
Active	Emphesys Insurance Company	300598	Agent - Health	7/3/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/18/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	8/9/2024
Active	Humana Insurance Company	301104	Agent - Health	8/9/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/9/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/18/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/18/2022	2/9/2024
Active	SilverScript Insurance Company	663526	Agent - Health	12/6/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Active	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2024