DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mendez, Maria	DOIID	1218476	NAIC NPN	20395248

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/22/2022		3/31/2025
Active	Non Resident	Agent	Life	7/22/2022		3/31/2025
* 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	01/15/2025	03/31/2025

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	7/25/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	7/25/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	7/25/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/31/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/31/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	7/27/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	7/27/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/2/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	11/16/2022
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	11/16/2022