DEPARTMENT OF INSURANCE

Affiliations

Name	Ortiz, Sergio Jassiel	DOIID	702655	NAIC NPN	9251454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/27/2009	10/31/2020
Inactive	Non Resident	Agent	Health	3/27/2009	10/31/2020
* 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	ACE American Insurance Company	300625	Agent - Health	9/21/2018	10/31/2020
Inactive	AXIS Insurance Company	301290	Agent - Health	8/30/2016	3/14/2019
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	12/13/2017	2/12/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	5/22/2015	10/31/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	5/22/2015	10/31/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/7/2014	1/2/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	2/7/2014	1/2/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/7/2015	2/23/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/11/2014	3/7/2018
Inactive	Continental American Insurance Company	301700	Agent - Health	3/12/2019	10/3/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	3/12/2019	10/3/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/7/2015	2/23/2016
Inactive	Family Life Insurance Company	300356	Agent - Health	2/9/2015	10/31/2020
Inactive	Family Life Insurance Company	300356	Agent - Life	2/9/2015	10/31/2020
Inactive	Federal Insurance Company	301144	Agent - Health	2/13/2018	10/31/2020
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/31/2014	4/14/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/20/2014	4/5/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/20/2014	4/5/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/5/2015	1/29/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/5/2015	1/29/2016
Inactive	Humana Insurance Company	301104	Agent - Health	4/7/2015	2/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	4/7/2015	2/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/7/2015	2/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/7/2015	2/23/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	7/22/2016	10/20/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	7/22/2016	10/20/2016
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/3/2018	10/31/2020
Inactive	National Health Insurance Company	300554	Agent - Health	12/4/2014	12/11/2019
Inactive	National Health Insurance Company	300554	Agent - Life	12/4/2014	12/11/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/19/2010	10/31/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/8/2014	11/13/2014
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/3/2019	10/22/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AHB Sales LLC	787451	Agent - Life	9/21/2012	2/13/2013
Inactive	AHB Sales LLC	787451	Agent - Health	9/21/2012	2/13/2013
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/25/2018	10/31/2020
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	9/13/2012	2/14/2013
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	9/13/2012	2/14/2013