DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Carlos L	DOIID	1181968	NAIC NPN	17791082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/15/2023		5/31/2025
Active	Non Resident	Agent	Life	11/15/2023		5/31/2025
* 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	11/18/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/7/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	11/18/2023
Active	Aetna Life Insurance Company	301140	Agent - Life	11/18/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/10/2022	12/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/10/2022	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/10/2022	12/20/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/10/2022	12/20/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/21/2023
Active	SilverScript Insurance Company	663526	Agent - Health	11/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Purpose Insurance Agency, LLC	1213960	Agent - Health	11/18/2023
Active	Purpose Insurance Agency, LLC	1213960	Agent - Life	11/18/2023