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DEPARTMENT OF INSURANCE
Affiliations
Name
Perez, Michael R.
DOIID
353106
NAIC NPN
1456733
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
3/24/1986
5/31/2026
Active
Non Resident
Agent
Health
3/24/1986
5/31/2026
Denied
Resident
Agent
Property
Denied
Resident
Agent
Casualty
* 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
AF&L Insurance Company
301582
Agent - Health
8/21/1997
12/31/1998
Inactive
Ability Insurance Company
301013
Agent - Health
6/15/1998
12/12/2000
Inactive
Ability Insurance Company
301013
Agent - Life
6/15/1998
12/12/2000
Inactive
Accendo Insurance Company
300312
Agent - Health
2/17/2023
11/17/2023
Active
Accendo Insurance Company
300312
Agent - Life
2/17/2023
Active
Aetna Health Inc. (PA)
660717
Agent - Health
5/6/2021
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
2/17/2023
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
5/6/2021
Active
Aetna Life Insurance Company
301140
Agent - Health
5/6/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
9/15/2006
12/3/2008
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
9/15/2006
12/3/2008
Inactive
Allied Life Insurance Company
301294
Agent - Health
7/28/1997
4/27/1998
Inactive
Allied Life Insurance Company
301294
Agent - Life
7/28/1997
4/27/1998
Inactive
American Continental Insurance Company
643130
Agent - Health
5/2/2007
11/12/2014
Inactive
American Continental Insurance Company
643130
Agent - Life
5/2/2007
11/12/2014
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
9/21/2006
1/9/2009
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
6/25/2024
Active
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
6/24/2021
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
6/12/2021
Active
Anthem Life Insurance Company
301209
Agent - Health
8/3/2007
Active
Anthem Life Insurance Company
301209
Agent - Life
8/3/2007
Inactive
Citizens Security Life Insurance Company
301257
Agent - Health
9/26/2006
11/24/2008
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
9/26/2006
11/24/2008
Inactive
Combined Insurance Company of America
301472
Agent - Health
3/28/2005
9/18/2006
Inactive
Combined Insurance Company of America
301472
Agent - Life
3/28/2005
9/18/2006
Active
Compcare Health Services Insurance Corporation
948751
Agent - Health
9/25/2021
Inactive
Conseco Insurance Company
301202
Agent - Life
11/16/1998
10/3/2003
Inactive
Continental Casualty Company
301019
Agent - Health
4/7/1999
10/29/2002
Inactive
Continental General Insurance Company
300691
Agent - Health
9/14/2000
11/19/2002
Inactive
Continental General Insurance Company
300691
Agent - Life
9/14/2000
11/19/2002
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
8/28/2006
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
2/17/2023
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
9/20/2012
5/12/2018
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/21/2006
12/14/2016
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/21/2006
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
8/22/2006
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
8/22/2006
12/14/2016
Inactive
Golden Rule Insurance Company
301943
Agent - Health
2/1/2007
12/2/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
2/1/2007
12/2/2008
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
1/18/2001
8/19/2002
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
8/25/2006
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
8/25/2006
6/7/2008
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
3/30/1998
12/1/1999
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
3/30/1998
12/1/1999
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
9/12/2006
12/4/2008
Inactive
MedAmerica Insurance Company
301568
Agent - Health
8/22/2006
12/1/2010
Inactive
Medico Insurance Company
301559
Agent - Health
7/11/1997
12/12/2000
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
8/21/2006
11/21/2008
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
8/21/2006
11/21/2008
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
12/29/1988
3/31/1997
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
12/29/1988
3/31/1997
Inactive
National States Insurance Company
300579
Agent - Health
8/13/2008
11/30/2010
Inactive
National States Insurance Company
300579
Agent - Life
8/13/2008
11/30/2010
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
10/12/2006
11/24/2008
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
10/12/2006
11/24/2008
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
3/8/2019
10/8/2021
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
3/8/2019
10/8/2021
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Health
10/26/1999
11/19/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Life
10/26/1999
11/19/2003
Active
SilverScript Insurance Company
663526
Agent - Health
5/6/2021
Inactive
Starmount Life Insurance Company
628031
Agent - Health
3/8/2019
10/8/2021
Denied
State Automobile Mutual Insurance Company
301824
Agent - Casualty
Denied
State Automobile Mutual Insurance Company
301824
Agent - Property
Inactive
State Farm Life Insurance Company
301810
Agent - Life
7/11/2002
1/13/2003
Inactive
State Farm Mutual Automobile Insurance Company
301732
Agent - Health
7/11/2002
1/13/2003
Inactive
Sterling Life Insurance Company
301947
Agent - Health
10/14/2003
3/30/2005
Inactive
Sterling Life Insurance Company
301947
Agent - Life
10/14/2003
3/30/2005
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
9/25/2006
11/29/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
9/25/2006
11/29/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
10/14/1991
11/29/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
10/14/1991
11/29/2008
Inactive
Time Insurance Company
300683
Agent - Health
3/12/2001
8/26/2002
Inactive
Time Insurance Company
300683
Agent - Life
3/12/2001
8/26/2002
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
3/8/2019
10/8/2021
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
3/8/2019
10/8/2021
Inactive
United American Insurance Company
300910
Agent - Health
2/16/1994
3/31/1997
Inactive
United American Insurance Company
300910
Agent - Life
2/16/1994
3/31/1997
Inactive
Unum Insurance Company
301499
Agent - Health
3/8/2019
10/8/2021
Inactive
Unum Insurance Company
301499
Agent - Life
3/8/2019
10/8/2021
Active
Wellpoint Life and Health Insurance Company
300469
Agent - Health
9/22/2006
Active
Wellpoint Life and Health Insurance Company
300469
Agent - Life
9/22/2006
Inactive
Wilco Life Insurance Company
300122
Agent - Life
11/16/1998
6/19/2001
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
8/3/2007
6/23/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
8/3/2007
6/23/2008
Active
Designated Agent Company Inc.
681257
Agent - Health
6/25/2008
Active
Designated Agent Company Inc.
681257
Agent - Life
6/25/2008
Inactive
Diversified Health Services of KY Inc.
400660
Agent - Health
2/24/1997
3/6/2003
Inactive
Diversified Health Services of KY Inc.
400660
Agent - Life
2/24/1997
3/6/2003
Inactive
Medlink Inc
400721
Agent - Health
8/21/2007
3/31/2024
Inactive
Medlink Inc
400721
Agent - Life
8/21/2007
3/31/2024
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