DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Carlos Javier	DOIID	744932	NAIC NPN	7735857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/20/2014		5/31/2026
Inactive	Non Resident	Agent	Life	12/21/2010	5/31/2012
* 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	03/15/2024	05/31/2024	04/04/2024	04/04/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Health	7/25/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/11/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/11/2019
Active	American General Life Insurance Company	301585	Agent - Health	8/3/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/17/2019
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	3/11/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/25/2022
Inactive	Elixir Insurance Company	696846	Agent - Health	8/29/2019	10/1/2020
Active	Essence Healthcare, Inc.	657425	Agent - Health	10/11/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/14/2011	9/6/2011
Inactive	Humana Insurance Company	301104	Agent - Health	1/14/2011	9/6/2011
Inactive	Humana Insurance Company	301104	Agent - Life	1/14/2011	9/6/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/14/2011	9/6/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/14/2011	9/6/2011
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	7/22/2021
Active	SilverScript Insurance Company	663526	Agent - Health	11/11/2019
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/2/2014
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	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	9/2/2014	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/23/2014	12/30/2021
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/21/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/23/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	5/17/2019
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	2/14/2011	8/8/2011
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/14/2011	8/8/2011
Active	Plan Advisors LLC	850857	Agent - Health	9/5/2014