DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mendez, Jeruel Urias	DOIID	924335	NAIC NPN	18026745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/12/2016	4/30/2022
* 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	AXIS Insurance Company	301290	Agent - Health	3/11/2020	4/30/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/28/2019	7/30/2020
Inactive	Aspen American Insurance Company	301513	Agent - Health	7/28/2020	12/14/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/16/2016	3/15/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/16/2016	3/15/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/16/2016	3/15/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/16/2016	3/15/2017
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2016	3/15/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/16/2016	3/15/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/16/2016	3/15/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	3/15/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/21/2020	4/30/2022
Inactive	United Concordia Insurance Company	903543	Agent - Health	3/26/2020	4/30/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/12/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/12/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/28/2019	4/18/2022