DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cisneros, Jose	DOIID	889762	NAIC NPN	17410870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/23/2016	12/31/2018
Inactive	Non Resident	Agent	Health	9/3/2015	12/31/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/8/2016	12/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/8/2016	12/31/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/6/2016	6/22/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/6/2016	12/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/6/2016	12/31/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/28/2017	11/17/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/8/2016	12/31/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/23/2017	12/7/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/23/2017	12/7/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	4/11/2016	10/3/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/28/2017	4/6/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	3/8/2017	12/12/2017

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 - Health	8/8/2016	12/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/8/2016	12/31/2018