DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marquez, Henry C C R	DOIID	816755	NAIC NPN	16956584

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/25/2016	10/31/2018
Inactive	Non Resident	Agent	Life	8/25/2016	10/31/2018
* 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	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/3/2013	10/31/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/3/2013	6/11/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2016	1/4/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/13/2016	1/4/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2016	1/4/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2016	1/4/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2016	1/4/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2016	1/4/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/13/2016	1/4/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/1/2016	2/22/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	2/22/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/1/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/1/2016	2/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	10/2/2013	3/10/2014
Denied	Alorica Customer Care, Inc.	800938	Agent - Life