DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Vitalone Health Plans Direct LLC	DOIID	719128	NAIC NPN	15334079

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/11/2010		3/31/2025
Active	Non Resident	Agent	Life	1/11/2010		3/31/2025
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	01/15/2025	03/31/2025

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	8/15/2018	3/20/2023
Active	AXIS Insurance Company	301290	Agent - Health	6/14/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/9/2016	3/7/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/9/2016	3/7/2019
Inactive	Federal Insurance Company	301144	Agent - Health	8/15/2018	3/20/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/19/2014	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/19/2014	12/13/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/5/2015	10/3/2016
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	4/16/2019
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	4/16/2019
Inactive	Time Insurance Company	300683	Agent - Health	10/14/2011	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	10/14/2011	12/20/2014
Active	Unified Life Insurance Company	543169	Agent - Health	2/16/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/5/2015	3/21/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gracia, Eliberto Juan	635049	Agent - Health	1/11/2010	12/17/2019
Active	Luis, Rene J	683436	Agent - Health	1/11/2010
Active	Luis, Rene J	683436	Agent - Life	1/11/2010