DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Acosta, Vanessa	DOIID	889021	NAIC NPN	17690995

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/28/2015		6/30/2026
Active	Non Resident	Agent	Life	8/28/2015		6/30/2026
* 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	04/15/2024	06/30/2024	05/14/2024	05/14/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental American Insurance Company	301700	Agent - Health	10/1/2015	10/10/2017
Inactive	Continental American Insurance Company	301700	Agent - Life	10/1/2015	10/10/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/5/2015	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/5/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/5/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/5/2015	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/15/2019	7/29/2021
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/15/2019	7/29/2021