DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Vazquez, Jose Manuel	DOIID	689016	NAIC NPN	11588658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/30/2008	8/31/2021
Inactive	Resident	Agent	Life	4/27/2009	8/31/2021
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/30/2008	6/30/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/27/2009	6/30/2013
Denied	Anthem Life Insurance Company	301209	Agent - Health
Denied	Anthem Life Insurance Company	301209	Agent - Life
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	4/27/2012	7/17/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	4/27/2012	7/17/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	4/27/2012	7/17/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	4/27/2012	7/17/2012
Inactive	Columbian Life Insurance Company	300810	Agent - Life	3/26/2018	8/31/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/12/2012	7/26/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/12/2012	7/26/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/12/2012	7/26/2012
Inactive	Humana Insurance Company	301104	Agent - Health	7/11/2012	7/26/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/11/2012	7/26/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/12/2012	7/26/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/12/2012	7/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/16/2012	6/30/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/16/2012	6/30/2013