DEPARTMENT OF INSURANCE

Affiliations

Name	Melendez, Richard Lazaro	DOIID	1302257	NAIC NPN	19472034

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2023	8/31/2025
Active	Non Resident	Agent	Life	9/29/2023	8/31/2025
* 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	06/15/2025	08/31/2025

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	10/14/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/6/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/14/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/14/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/29/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/29/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/29/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	9/29/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	9/29/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/6/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/29/2023	2/17/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/10/2023	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/10/2023	1/6/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/29/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/6/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	10/9/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	10/9/2023
Active	Monitor Life Insurance Company of New York	1117550	Agent - Health	12/28/2023
Active	Monitor Life Insurance Company of New York	1117550	Agent - Life	12/28/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/14/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2023	2/17/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/29/2023	2/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/9/2023	12/3/2024
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/6/2023	12/3/2024