DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Marcos R	DOIID	839414	NAIC NPN	1244872

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/20/2020		10/31/2025
Active	Non Resident	Agent	Life	2/20/2020		10/31/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/11/2020	6/2/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/11/2020	6/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Exude Benefits, LLC	839536	Agent - Life	3/6/2020	3/31/2022
Inactive	Exude Benefits, LLC	839536	Agent - Health	3/6/2020	3/31/2022
Denied	Patriot Growth Insurance Services LLC	1002152	Agent - Life
Denied	Patriot Growth Insurance Services LLC	1002152	Agent - Health