DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jimenez, Ernesto	DOIID	1286571	NAIC NPN	20532898

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/19/2023		12/31/2026
Active	Non Resident	Agent	Health	7/19/2023		12/31/2026
* 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	10/15/2024	12/31/2024	10/10/2024	10/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/25/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	7/25/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/2/2023
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/9/2023
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/9/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	8/30/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	8/30/2023
Active	SilverScript Insurance Company	663526	Agent - Health	7/25/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/2/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/2/2023

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	12/14/2023
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/14/2023