DEPARTMENT OF INSURANCE

Affiliations

Name	Grupo Latinoamericano De Seguros LLC	DOIID	733126	NAIC NPN	15085239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/27/2010	3/31/2026
Active	Non Resident	Agent	Health	7/27/2010	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	7/29/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/13/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	9/13/2014
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/23/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/13/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	9/13/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	3/23/2017	8/11/2021
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	6/9/2014	1/22/2015
Active	American General Life Insurance Company	301585	Agent - Health	10/19/2016
Active	American General Life Insurance Company	301585	Agent - Life	10/19/2016
Inactive	American National Insurance Company	301861	Agent - Health	10/17/2012	5/6/2021
Active	American National Insurance Company	301861	Agent - Life	10/17/2012
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	9/1/2010	9/13/2012
Inactive	American Pioneer Life Insurance Company	301782	Agent - Life	9/1/2010	9/13/2012
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	7/6/2016	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	7/6/2016	12/21/2018
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	9/23/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/2/2016	12/22/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/28/2019	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/28/2019	2/3/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/23/2017
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/12/2014
Active	First Health Life & Health Insurance Company	301735	Agent - Health	3/29/2013
Active	Gerber Life Insurance Company	300529	Agent - Health	6/10/2013
Active	Gerber Life Insurance Company	300529	Agent - Life	6/10/2013
Active	Golden Rule Insurance Company	301943	Agent - Health	3/10/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	3/10/2025
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	6/16/2023	12/22/2023
Active	Loyal American Life Insurance Company	301172	Agent - Health	3/20/2025
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	9/1/2010	9/13/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	9/1/2010	9/13/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/4/2010	1/27/2014
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/21/2010	1/3/2014
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/21/2010	12/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	1/20/2012	9/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	1/20/2012	9/13/2012
Active	National Western Life Insurance Company	301515	Agent - Life	5/2/2011
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	1/27/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/1/2011	11/4/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/21/2010	3/31/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	11/21/2010	3/31/2013
Inactive	SILAC Insurance Company	300535	Agent - Health	10/10/2012	1/4/2022
Inactive	SILAC Insurance Company	300535	Agent - Life	10/10/2012	1/4/2022
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	10/17/2022
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	10/17/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	9/16/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/4/2010	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/4/2010	1/27/2014
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/1/2011
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/1/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/11/2018	5/13/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	3/9/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	3/9/2022
Active	Graham, Matthew B	640480	Agent - Health	3/9/2022
Active	Graham, Matthew B	640480	Agent - Life	3/9/2022
Inactive	North, Timothy Owen	514133	Agent - Health	7/27/2010	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	7/27/2010	4/13/2018