DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Diaz, Antonio	DOIID	893309	NAIC NPN	17727086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/22/2023		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/3/2023	5/16/2024
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	7/26/2020	12/8/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/3/2023	5/16/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/9/2018	12/11/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/26/2020	12/8/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/26/2020	12/8/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/8/2016	12/21/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/3/2023	5/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	2/14/2024	5/16/2024