DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Clarisa Gissel	DOIID	1168459	NAIC NPN	16473837

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2024		5/31/2026
* 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	03/15/2026	05/31/2026

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	9/3/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/11/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/3/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/3/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/17/2022	8/11/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/11/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/17/2022	8/11/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/26/2022	8/11/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/3/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	2/14/2024	3/31/2024