DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Roy	DOIID	912481	NAIC NPN	8228648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/22/2019	1/31/2025
Active	Non Resident	Agent	Health	11/22/2019	1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	10/29/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	10/29/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/9/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/29/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/9/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/9/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/27/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/27/2020	3/1/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/27/2020	3/1/2021
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	4/25/2016	8/18/2017
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	4/25/2016	8/18/2017
Inactive	CMFG Life Insurance Company	300929	Agent - Health	11/26/2019	2/6/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Life	11/26/2019	2/6/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/19/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/29/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/29/2021
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	5/1/2018	1/31/2019
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	5/1/2018	1/31/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/18/2020	2/8/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	6/29/2016	3/22/2018
Active	SilverScript Insurance Company	663526	Agent - Health	9/9/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	9/19/2020	2/20/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/28/2021	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/28/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/28/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/28/2021	2/19/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/15/2021	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/13/2021	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	1/23/2020
Active	Sutherland Global Services Inc	601788	Agent - Health	1/23/2020
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	10/27/2016	8/18/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/27/2016	10/19/2017