DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moctezuma, Lorraine	DOIID	738729	NAIC NPN	15943621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/16/2022	12/31/2023
* 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	11/21/2022	12/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/21/2022	12/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/21/2022	12/31/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/1/2010	12/31/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/21/2022	12/31/2023
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/8/2010	12/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/1/2010	12/31/2011