DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Alfonso	DOIID	653456	NAIC NPN	8004861

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/12/2007	7/31/2012
Inactive	Non Resident	Agent	Health	4/12/2007	7/31/2012
Active	Non Resident	Staff Adjuster	Property & Casualty	4/8/2025		7/31/2026
* 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
Staff Adjuster	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/30/2011	7/19/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/19/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	7/19/2012
Inactive	Humana Insurance Company	301104	Agent - Health	5/22/2007	7/19/2012
Inactive	Humana Insurance Company	301104	Agent - Life	5/22/2007	7/19/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/22/2007	7/19/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/22/2007	7/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/22/2007	7/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/22/2007	7/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/7/2010	7/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/7/2010	7/19/2012
Inactive	Time Insurance Company	300683	Agent - Health	10/21/2011	7/31/2012
Inactive	Time Insurance Company	300683	Agent - Life	10/21/2011	7/31/2012

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	7/31/2012
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/20/2011	7/31/2012