DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Toribio, Sergio E	DOIID	820028	NAIC NPN	17017154

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/3/2016	3/13/2023
Inactive	Non Resident	Agent	Health	2/3/2016	3/13/2023
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	4/1/2015	5/31/2015
Inactive	Continental American Insurance Company	301700	Agent - Health	6/16/2014	3/4/2015
Inactive	Continental American Insurance Company	301700	Agent - Life	6/16/2014	3/4/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/1/2015	5/31/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/1/2015	5/31/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/17/2014	3/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/17/2014	3/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	4/17/2014	3/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	4/17/2014	3/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/17/2014	3/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/17/2014	3/4/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/1/2015	5/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/1/2015	5/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/17/2014	3/4/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/17/2014	3/4/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/17/2014	3/4/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/17/2014	3/4/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/17/2014	3/4/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	5/7/2014	3/4/2015
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	5/7/2014	3/4/2015