DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Raymond Lee	DOIID	791280	NAIC NPN	15180256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/30/2017	1/31/2020
Inactive	Non Resident	Agent	Life	5/30/2017	1/31/2020
* 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	6/7/2017	2/23/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/13/2017	1/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/7/2017	2/23/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/7/2017	7/2/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	6/13/2017	1/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/13/2017	1/10/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/13/2017	1/10/2018
Inactive	CMFG Life Insurance Company	300929	Agent - Health	12/21/2012	6/5/2013
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/21/2012	6/5/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/19/2013	12/2/2014
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/19/2013	12/2/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2015	3/23/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/13/2017	1/31/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/13/2017	6/13/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2015	3/23/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/7/2017	2/23/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/18/2013	2/23/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/18/2013	2/23/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	1/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/19/2013	1/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/19/2013	1/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	6/19/2013	1/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/19/2013	1/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/19/2013	1/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/19/2013	1/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	1/31/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/10/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/10/2015	10/22/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/1/2017	1/4/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	6/1/2017	1/4/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/1/2017	1/4/2018

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 - Life	7/13/2017	1/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/13/2017	1/31/2020
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	11/29/2017	2/20/2018
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	11/29/2017	2/20/2018