DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzalez, Fabian	DOIID	925197	NAIC NPN	8792429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/25/2023		10/31/2026
* 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	08/15/2026	10/31/2026

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	8/27/2024	9/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/27/2024	9/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/27/2024	9/30/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/23/2018	6/6/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/6/2018	12/10/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/20/2016	7/4/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/6/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/6/2018	12/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/6/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/6/2018	12/10/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	6/27/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/27/2024	9/30/2024
Active	Starmount Life Insurance Company	628031	Agent - Health	6/27/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	6/27/2024
Inactive	Unified Life Insurance Company	543169	Agent - Health	9/15/2016	10/7/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/7/2018	6/5/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	3/7/2018	6/5/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/7/2018	6/5/2018
Active	Unum Insurance Company	301499	Agent - Health	6/27/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/31/2023	4/10/2026

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	7/26/2017	6/6/2019
Inactive	Hodges-Mace LLC	1059189	Agent - Health	9/2/2025	2/23/2026