DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Luis Antonio	DOIID	910160	NAIC NPN	17228646

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	3/3/2023	5/31/2025
Pending Replacement	Non Resident	Agent	Health	3/3/2023	5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/21/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/21/2023	12/19/2024
Pending Replacement	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/21/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/25/2019	5/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/25/2019	5/31/2021
Pending Replacement	Arcadian Health Plan, Inc.	728196	Agent - Health	9/19/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/6/2023	8/29/2024
Pending Replacement	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/21/2023
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	2/26/2025
Inactive	Federal Insurance Company	301144	Agent - Health	2/21/2018	5/31/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/11/2019	6/2/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/11/2019	6/2/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/23/2023	11/7/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/23/2023	11/7/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/1/2023	8/27/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/13/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/23/2023	8/27/2024
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/15/2023	8/27/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/9/2023	8/27/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/6/2023	8/29/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/6/2023	8/29/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/6/2024	9/10/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/23/2020	5/31/2021

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 - Life	12/26/2019	5/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/26/2019	5/31/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/28/2018	5/31/2021