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.

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
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/31/2023

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