DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez, Jimmy	DOIID	871991	NAIC NPN	9446692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/13/2023		1/31/2025
Inactive	Non Resident	Agent	Life	3/12/2015	1/31/2017
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/26/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/26/2023	4/24/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	7/26/2023
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	6/25/2016	12/7/2016
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	6/25/2016	12/7/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/17/2017	12/19/2017
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/30/2015	3/7/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	1/31/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/20/2018	1/31/2019
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/29/2015	10/3/2016
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/27/2023	4/4/2024
Inactive	National Health Insurance Company	300554	Agent - Health	4/20/2015	1/31/2017
Inactive	National Health Insurance Company	300554	Agent - Life	4/20/2015	1/31/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/26/2023	4/24/2024
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/7/2015	3/16/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2018	2/25/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/23/2018	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/23/2018	2/25/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/23/2018	2/25/2019

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	11/17/2017	12/19/2017
Denied	Health Plan Intermediaries Holdings	786463	Agent - Health