DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Enrique Rafael	DOIID	835242	NAIC NPN	15687399

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/5/2014	5/6/2024
Inactive	Non Resident	Agent	Casualty	3/5/2014	5/6/2024
Inactive	Non Resident	Agent	Health	3/5/2014	5/6/2024
Inactive	Non Resident	Agent	Property	3/5/2014	5/6/2024
* 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	All Savers Insurance Company	301940	Agent - Health	12/7/2023	5/6/2024
Inactive	All Savers Insurance Company	301940	Agent - Life	12/7/2023	5/6/2024
Inactive	AmGUARD Insurance Company	500010	Agent - Casualty	6/23/2020	5/6/2024
Inactive	AmGUARD Insurance Company	500010	Agent - Property	6/23/2020	5/6/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	12/28/2023	5/6/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	12/28/2023	5/6/2024
Inactive	Continental Casualty Company	301019	Agent - Casualty	2/13/2024	5/6/2024
Inactive	Continental Casualty Company	301019	Agent - Property	2/13/2024	5/6/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/13/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/13/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	7/13/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/13/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/13/2018	12/10/2018
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/26/2018	5/6/2024
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/26/2018	5/6/2024
Inactive	NorGUARD Insurance Company	500015	Agent - Casualty	6/23/2020	5/6/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/7/2023	5/6/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/7/2023	5/6/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/7/2023	5/6/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/7/2023	5/6/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fulcro Insurance Of Georgia, LLC	958481	Agent - Property	6/23/2017	5/6/2024
Denied	Futurity First Insurance Group LLC	676947	Agent - Health
Inactive	Futurity First Insurance Group LLC	676947	Agent - Casualty	8/14/2019	5/6/2024
Denied	Futurity First Insurance Group LLC	676947	Agent - Life
Inactive	Futurity First Insurance Group LLC	676947	Agent - Property	8/14/2019	5/6/2024