DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Proenza, Jerry	DOIID	1247304	NAIC NPN	479301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/16/2022	5/31/2024
Inactive	Non Resident	Agent	Life	12/16/2022	5/31/2024
* 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
Inactive	Accendo Insurance Company	300312	Agent - Life	11/15/2023	5/31/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/19/2022	5/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/19/2022	5/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/19/2022	5/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	8/20/2023	5/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	8/20/2023	5/31/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/19/2023	2/20/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/19/2022	5/31/2024
Inactive	Tier One Insurance Company	301056	Agent - Life	11/29/2023	5/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/19/2023	2/20/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/19/2023	2/20/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024