DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez-Correa, Edgardo	DOIID	896486	NAIC NPN	17118773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/8/2019	6/30/2021
* 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	3/18/2020	5/27/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020	5/27/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/18/2020	5/27/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/18/2020	1/28/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/19/2020	6/30/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/18/2020	5/27/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/13/2015	3/26/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2015	3/26/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/13/2015	3/26/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/13/2015	3/26/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/13/2015	3/26/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/13/2015	3/26/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/11/2020	5/27/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/13/2019	12/13/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/13/2019	12/13/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/13/2019	12/13/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/13/2019	12/13/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/5/2020	6/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/5/2020	6/30/2021

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	6/18/2020	1/31/2021