DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Maisonave, Jose	DOIID	840165	NAIC NPN	16819995

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/6/2014	1/31/2016
Inactive	Non Resident	Agent	Health	9/16/2017	1/31/2020
* 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	Aetna Health and Life Insurance Company	300523	Agent - Health	9/19/2019	1/31/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	9/30/2015	1/31/2016
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	9/30/2015	1/31/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/20/2017	12/28/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/19/2019	1/31/2020
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	8/25/2015	12/22/2015
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	8/25/2015	12/22/2015
Inactive	Omaha Insurance Company	751908	Agent - Health	10/8/2015	2/28/2016
Inactive	Time Insurance Company	300683	Agent - Health	5/13/2014	9/16/2014
Inactive	Time Insurance Company	300683	Agent - Life	5/13/2014	9/16/2014
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2019	1/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019	1/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/20/2017	1/31/2020