DEPARTMENT OF INSURANCE

Affiliations

Name	Fajardo, Sandra Sofia	DOIID	816282	NAIC NPN	9432086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/2/2021	5/31/2022
Inactive	Non Resident	Agent	Health	2/2/2021	5/31/2022
* 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	2/26/2020	5/31/2020
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/2/2014	5/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/26/2020	5/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/26/2020	5/31/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/26/2021	8/27/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/26/2021	8/27/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/26/2021	8/27/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2017	12/12/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/21/2017	5/31/2020
Inactive	Continental American Insurance Company	301700	Agent - Health	10/24/2018	5/31/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	10/24/2018	5/31/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/2/2014	5/31/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/18/2017	12/12/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/19/2014	3/17/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2017	12/12/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2017	12/12/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/19/2014	3/17/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/18/2017	12/12/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/18/2017	12/12/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/26/2020	5/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/6/2017	9/22/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/6/2017	9/22/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2013	1/29/2014
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/6/2017	9/22/2017
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/18/2020	6/22/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/18/2020	6/22/2020

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	10/17/2017	6/23/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/17/2017	6/23/2019