DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Jessica	DOIID	764957	NAIC NPN	16400763

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/28/2011	3/31/2017
Inactive	Non Resident	Agent	Health	9/28/2011	3/31/2017
* 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	11/9/2011	3/31/2017
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/6/2014	3/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/9/2011	3/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/9/2011	3/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/17/2011	8/6/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/17/2011	8/6/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/25/2014	7/10/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	9/25/2014	7/10/2015
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	10/9/2013	7/13/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	12/4/2012
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/14/2014	3/31/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	12/4/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/19/2012	3/31/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	7/23/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	7/23/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/14/2011	7/23/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/6/2011	7/23/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/6/2011	7/23/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/14/2011	7/23/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/10/2012	7/23/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	7/23/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/10/2014	7/9/2015
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	9/12/2012	3/7/2016
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/21/2011	1/23/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/21/2011	5/1/2015
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/12/2011	2/1/2015
Inactive	Sterling Life Insurance Company	301947	Agent - Life	10/12/2011	2/1/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/9/2014	7/10/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/9/2014	7/10/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/10/2011	7/2/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/10/2011	7/2/2015
Inactive	Washington National Insurance Company	300587	Agent - Health	6/12/2012	3/9/2015
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/3/2013	7/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	8/17/2013	6/15/2015
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Life	8/17/2013	6/15/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/17/2011	8/6/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/17/2011	8/6/2015