DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Menjivar, Humberto	DOIID	1256827	NAIC NPN	20473456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/15/2023		6/30/2026
Active	Non Resident	Agent	Property	8/14/2023		6/30/2026
Active	Non Resident	Agent	Health	2/15/2023		6/30/2026
Active	Non Resident	Agent	Casualty	8/14/2023		6/30/2026
* 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	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/6/2023	7/6/2023
Active	Midvale Indemnity Company	300292	Agent - Casualty	9/7/2023
Active	Midvale Indemnity Company	300292	Agent - Property	9/7/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/15/2023	7/7/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/15/2023	7/7/2023
Active	Wellfleet Insurance Company	300542	Agent - Casualty	8/28/2023
Active	Wellfleet Insurance Company	300542	Agent - Property	8/28/2023
Active	Wellfleet New York Insurance Company	300245	Agent - Casualty	8/28/2023
Active	Wellfleet New York Insurance Company	300245	Agent - Property	8/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geico Insurance Agency, LLC	558517	Agent - Casualty	8/28/2023
Active	Geico Insurance Agency, LLC	558517	Agent - Property	8/28/2023