DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Velazquez Cerezo, Cristian Velazquez	DOIID	853405	NAIC NPN	17369549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/8/2021		7/31/2025
Active	Non Resident	Agent	Health	9/24/2014		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/2/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	11/2/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	11/2/2021
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/18/2021	4/7/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/3/2015	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/3/2015	12/13/2016
Active	Golden Rule Insurance Company	301943	Agent - Health	12/25/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/17/2016	11/6/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/17/2016	11/6/2017
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/3/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2014	12/10/2014
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	1/20/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/24/2014	12/10/2014
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	2/7/2023	4/25/2023

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	10/14/2016	2/11/2025
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	1/3/2022
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	1/3/2022