DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Miguel Angel	DOIID	850331	NAIC NPN	2769221

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/2/2014	11/30/2015
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/23/2014	12/11/2014
Inactive	Continental American Insurance Company	301700	Agent - Health	3/16/2015	11/30/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/12/2014	11/30/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/12/2014	11/30/2015

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	9/23/2014	2/19/2015