DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrizosa, Maria L	DOIID	692024	NAIC NPN	9748798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/22/2008	9/30/2011
* 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	11/3/2008	1/28/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/3/2008	1/28/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	1/28/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/3/2008	1/28/2010
Inactive	Humana Insurance Company	301104	Agent - Health	11/3/2008	1/28/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/13/2008	1/28/2010

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 - Health	4/1/2009	1/14/2010