DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Himler, Monserrat	DOIID	879073	NAIC NPN	6732662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/28/2015		1/31/2028
Active	Non Resident	Agent	Life	5/28/2015		1/31/2028
* 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	ReliaStar Life Insurance Company	301712	Agent - Health	6/8/2015	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/8/2015	12/18/2020
Inactive	Trustmark Insurance Company	300317	Agent - Health	8/16/2015	6/29/2020
Inactive	Trustmark Insurance Company	300317	Agent - Life	8/16/2015	6/29/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Gallagher Benefit Services Inc	525782	Agent - Life
Pending	Gallagher Benefit Services Inc	525782	Agent - Health