DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Suzanna	DOIID	700618	NAIC NPN	8774691

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/18/2011		4/30/2027
Active	Non Resident	Agent	Life	8/18/2011		4/30/2027
* 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
Agent	02/15/2025	04/30/2025	03/17/2025	03/17/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	12/2/2013	8/4/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	12/2/2013	8/4/2017
Inactive	New York Life Insurance Company	300431	Agent - Health	11/25/2013	3/24/2021
Inactive	New York Life Insurance Company	300431	Agent - Life	11/25/2013	3/24/2021
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/27/2013
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/27/2013
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/2/2013	8/4/2017
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/2/2013	8/4/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/23/2014	8/29/2014
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/23/2014	8/29/2014
Denied	Seabury & Smith Inc	394854	Agent - Health
Denied	Seabury & Smith Inc	394854	Agent - Life