DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez, Odeny	DOIID	1221756	NAIC NPN	18155813

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/8/2022		6/30/2026
Active	Non Resident	Agent	Life	8/8/2022		6/30/2026
* 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	04/15/2024	06/30/2024	05/07/2024	05/07/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lumico Life Insurance Company	300354	Agent - Life	4/29/2024
Active	Pruco Life Insurance Company	300954	Agent - Life	11/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/28/2023	5/15/2024
Denied	Assurance IQ, LLC	919554	Agent - Health