DEPARTMENT OF INSURANCE

Affiliations

Name	Ramirez, Marisela	DOIID	678915	NAIC NPN	3144523

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/12/2010	11/30/2011
Inactive	Non Resident	Agent	Life	5/12/2010	11/30/2011
Inactive	Non Resident	Agent	Casualty	4/21/2008	11/30/2009
Inactive	Non Resident	Agent	Property	4/21/2008	11/30/2009
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	6/3/2011	11/30/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/3/2011	11/30/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/3/2011	11/30/2011
Inactive	Humana Insurance Company	301104	Agent - Health	6/3/2011	11/30/2011
Inactive	Humana Insurance Company	301104	Agent - Life	6/3/2011	11/30/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/3/2011	11/30/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/3/2011	11/30/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/3/2011	11/30/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/3/2011	11/30/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/3/2011	11/30/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/3/2011	11/30/2011
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	5/13/2008	6/27/2008
Inactive	New Hampshire Insurance Company	301670	Agent - Property	5/13/2008	6/27/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/15/2010	11/30/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/15/2010	11/30/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	11/17/2010	3/29/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	11/17/2010	3/29/2011
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/30/2011	11/30/2011
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/30/2011	11/30/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/15/2010	11/30/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/15/2010	11/30/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Purinacare Insurance Services Inc	675775	Agent - Property	5/13/2008	6/27/2008
Inactive	Purinacare Insurance Services Inc	675775	Agent - Casualty	5/13/2008	6/27/2008