DEPARTMENT OF INSURANCE
Affiliations
NamePerez, Enrique RafaelDOIID835242NAIC NPN15687399
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentCasualty3/5/2014 9/30/2025
Pending ReplacementNon ResidentAgentLife3/5/2014 9/30/2025
Pending ReplacementNon ResidentAgentHealth3/5/2014 9/30/2025
Pending ReplacementNon ResidentAgentProperty3/5/2014 9/30/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAll Savers Insurance Company301940Agent - Health12/7/2023 
Pending ReplacementAll Savers Insurance Company301940Agent - Life12/7/2023 
Pending ReplacementAmGUARD Insurance Company500010Agent - Casualty6/23/2020 
Pending ReplacementAmGUARD Insurance Company500010Agent - Property6/23/2020 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Health12/28/2023 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Life12/28/2023 
Pending ReplacementContinental Casualty Company301019Agent - Casualty2/13/2024 
Pending ReplacementContinental Casualty Company301019Agent - Property2/13/2024 
InactiveHumana Health Plan, Inc.300142Agent - Health7/13/201812/10/2018
InactiveHumana Insurance Company301104Agent - Health7/13/201812/10/2018
InactiveHumana Insurance Company301104Agent - Life7/13/201812/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/13/201812/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/13/201812/10/2018
Pending ReplacementInsurance Company of the State of Pennsylvania300807Agent - Casualty8/26/2018 
Pending ReplacementInsurance Company of the State of Pennsylvania300807Agent - Property8/26/2018 
Pending ReplacementNorGUARD Insurance Company500015Agent - Casualty6/23/2020 
Pending ReplacementUnitedHealthcare Insurance Company300946Agent - Health12/7/2023 
Pending ReplacementUnitedHealthcare Insurance Company300946Agent - Life12/7/2023 
Pending ReplacementUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/7/2023 
Pending ReplacementUnitedHealthcare of Ohio, Inc.300493Agent - Health12/7/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementFulcro Insurance Of Georgia, LLC958481Agent - Casualty6/23/2017 
Pending ReplacementFulcro Insurance Of Georgia, LLC958481Agent - Property6/23/2017 
DeniedFuturity First Insurance Group LLC676947Agent - Health  
Pending ReplacementFuturity First Insurance Group LLC676947Agent - Casualty8/14/2019 
DeniedFuturity First Insurance Group LLC676947Agent - Life  
Pending ReplacementFuturity First Insurance Group LLC676947Agent - Property8/14/2019 

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