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DEPARTMENT OF INSURANCE
Affiliations
Name
Perez, Quinn E
DOIID
711411
NAIC NPN
5453794
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
8/15/2009
3/31/2013
Inactive
Non Resident
Agent
Life
8/15/2009
3/31/2013
* 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
9/9/2009
12/26/2012
Inactive
Aetna Life Insurance Company
301140
Agent - Health
9/9/2009
12/26/2012
Inactive
Aetna Life Insurance Company
301140
Agent - Life
9/9/2009
12/26/2012
Inactive
American Continental Insurance Company
643130
Agent - Health
9/24/2012
3/31/2013
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
9/10/2009
2/12/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Health
9/10/2009
11/30/2011
Inactive
CompBenefits Insurance Company
301864
Agent - Life
9/10/2009
11/30/2011
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
10/27/2009
3/31/2013
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
10/27/2009
3/31/2013
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
6/21/2010
2/12/2013
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
10/10/2012
2/12/2013
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
9/10/2009
2/12/2013
Inactive
Humana Insurance Company
301104
Agent - Health
9/10/2009
2/12/2013
Inactive
Humana Insurance Company
301104
Agent - Life
9/10/2009
2/12/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
9/10/2009
2/12/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
9/10/2009
2/12/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Health
9/10/2009
2/22/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
9/10/2009
2/22/2012
Inactive
Kanawha Insurance Company
300127
Agent - Health
9/10/2009
2/12/2013
Inactive
Kanawha Insurance Company
300127
Agent - Life
9/10/2009
2/12/2013
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
9/26/2009
11/4/2011
Inactive
SilverScript Insurance Company
663526
Agent - Health
4/14/2011
3/31/2013
Inactive
Sterling Life Insurance Company
301947
Agent - Health
9/23/2009
7/21/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
10/15/2009
9/19/2011
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
10/15/2009
9/19/2011
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/26/2009
5/2/2012
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
12/4/2009
5/2/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Extend Insurance Services, LLC
625753
Agent - Life
9/25/2009
3/31/2013
Inactive
Extend Insurance Services, LLC
625753
Agent - Health
9/25/2009
3/31/2013
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