DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Penaloza Cruz, Diacelyn	DOIID	1186275	NAIC NPN	20109217

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/3/2022		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/19/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	1/9/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/24/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	6/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geozoning Inc.	832332	Agent - Health	12/21/2022