DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mercado, Jesse Rafael	DOIID	825747	NAIC NPN	17050418

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/25/2013		12/31/2024
Active	Non Resident	Agent	Life	9/8/2021		12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/27/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	10/27/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	10/27/2021
Active	CareSource Kentucky Co.	838179	Agent - Health	11/18/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2016	6/15/2018
Active	Golden Rule Insurance Company	301943	Agent - Health	12/31/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/17/2016	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/17/2016	6/15/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/19/2014	12/10/2014
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	1/20/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/19/2014	12/10/2014
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	2/6/2023	4/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021