DEPARTMENT OF INSURANCE

Affiliations

Name	Jimenez, Maria V	DOIID	729475	NAIC NPN	8143895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/23/2019	3/31/2022
Inactive	Non Resident	Agent	Health	1/23/2019	3/31/2022
* 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	6/3/2011	5/3/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/3/2011	5/3/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/24/2010	5/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/9/2011	6/9/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	6/17/2014	7/1/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	6/17/2014	7/1/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2010	6/9/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/6/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/6/2011	12/26/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/9/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	6/9/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/30/2010	6/9/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2010	6/9/2016
Inactive	Humana Insurance Company	301104	Agent - Life	5/25/2011	6/9/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2010	6/9/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/25/2011	6/9/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/9/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/6/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/25/2011	10/22/2015
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	3/28/2017	5/3/2018
Inactive	Sterling Life Insurance Company	301947	Agent - Health	5/23/2012	8/19/2013
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/13/2015	5/3/2016
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/13/2015	5/3/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	8/30/2010	5/3/2016
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	6/6/2011	5/3/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/24/2010	5/3/2016