DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Victor Benito	DOIID	510163	NAIC NPN	2971101

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/24/2003	10/8/2013
Inactive	Non Resident	Agent	Life	4/19/2000	10/8/2013
Inactive	Non Resident	Agent	Casualty	4/24/2003	10/8/2013
Inactive	Non Resident	Agent	Health	4/19/2000	10/8/2013
* 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	Central States Health and Life Company of Omaha	301874	Agent - Health	4/1/2003	11/3/2004
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	4/1/2003	11/3/2004
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	4/24/2003	11/3/2004
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	4/24/2003	11/3/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/7/2011	5/15/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	5/15/2013
Inactive	Everlake Life Insurance Company	300873	Agent - Health	4/19/2000	7/1/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/19/2000	7/1/2004
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/5/2012	5/15/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	5/15/2013
Inactive	Humana Insurance Company	301104	Agent - Health	5/10/2006	4/9/2013
Inactive	Humana Insurance Company	301104	Agent - Life	5/10/2006	4/9/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/10/2006	5/15/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/10/2006	5/15/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/27/2012	4/9/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/27/2012	4/9/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/7/2010	5/15/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/7/2010	5/15/2013
Inactive	Sears Life Insurance Company	300218	Agent - Health	10/18/2000	1/19/2006
Inactive	Sears Life Insurance Company	300218	Agent - Life	10/18/2000	1/19/2006
Inactive	Time Insurance Company	300683	Agent - Health	11/10/2011	4/30/2013
Inactive	Time Insurance Company	300683	Agent - Life	11/10/2011	4/30/2013
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	11/8/2001	6/16/2003
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	11/8/2001	6/16/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	7/20/2011	5/15/2013
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/20/2011	5/15/2013