DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Daza, Luis Fernando	DOIID	732811	NAIC NPN	9393960

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/19/2022		8/31/2024
Inactive	Non Resident	Agent	Health	7/21/2010	8/31/2012
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	5/2/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/30/2010	3/27/2012
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/27/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/30/2010	3/27/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/30/2010	3/27/2012
Inactive	Humana Insurance Company	301104	Agent - Health	7/30/2010	3/27/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/30/2010	3/27/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/30/2010	3/27/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/30/2010	3/27/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/16/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/30/2010	3/27/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/30/2010	3/27/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/15/2012	10/25/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/29/2012	10/16/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/2/2012	10/16/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	8/11/2010	3/27/2012
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	8/11/2010	8/31/2012