DEPARTMENT OF INSURANCE

Affiliations

Name	Ruiz, Fernando Alonso	DOIID	686356	NAIC NPN	10943363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/6/2008	10/31/2016
Inactive	Non Resident	Agent	Health	8/6/2008	10/31/2016
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	12/27/2011	6/26/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/27/2011	6/26/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/27/2011	6/26/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/8/2011	9/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/8/2011	9/1/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	12/4/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2011	12/4/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/21/2012	6/26/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	6/4/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2011	6/4/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/29/2011	6/4/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/29/2011	6/4/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2011	6/4/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2011	6/4/2013
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	9/12/2012	12/18/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/18/2011	1/16/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/22/2013	10/31/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/22/2013	10/31/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/18/2011	3/15/2016
Inactive	Sterling Life Insurance Company	301947	Agent - Health	11/2/2011	12/2/2013
Inactive	Sterling Life Insurance Company	301947	Agent - Life	11/2/2011	12/2/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/12/2014	2/26/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/12/2014	2/26/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/12/2014	2/26/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/12/2014	2/26/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/22/2013	10/31/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/22/2013	10/31/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/9/2012	9/6/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/9/2012	9/6/2013
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/26/2012	12/17/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boon Ins Agency Inc	520756	Agent - Life	1/15/2009	8/6/2010
Inactive	Boon Ins Agency Inc	520756	Agent - Health	1/15/2009	8/6/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/27/2011	9/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/18/2011	9/1/2015