DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mendez, Ivan	DOIID	1373571	NAIC NPN	20985786

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	5/12/2025		11/30/2026
Active	Non Resident	Agent	Health	11/21/2024		11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/21/2024	12/19/2024
Active	LM General Insurance Company	300133	Agent - Personal Lines	9/2/2026
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Personal Lines	2/19/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/21/2024	12/19/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/21/2024	12/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Tpusa, Inc.	551795	Agent - Health