DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moita, Goncalo Miguel	DOIID	881274	NAIC NPN	13525485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/23/2015	11/30/2017
Inactive	Non Resident	Agent	Health	6/23/2015	11/30/2017
* 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 Life Insurance Company	301209	Agent - Health	12/12/2015	4/28/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/12/2015	4/28/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/24/2015	11/11/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/24/2015	11/11/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/26/2017	11/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/26/2017	11/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/26/2017	11/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	9/26/2017	11/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/14/2015	5/2/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/14/2015	5/2/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/26/2017	11/30/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/26/2017	11/30/2017

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 - Life	12/12/2015	4/28/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2015	4/28/2016