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	License Expiration Date
Active	Non Resident	Agent	Health	3/24/1986	5/31/2026
Active	Non Resident	Agent	Life	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
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021	12/19/2024
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
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/3/2024
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
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/3/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/3/2024
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
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/25/2008	2/18/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/25/2008	2/18/2025
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