DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Carlos	DOIID	925348	NAIC NPN	18068429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/19/2016		9/30/2024
Active	Non Resident	Agent	Life	8/19/2016		9/30/2024
Inactive	Non Resident	Agent	Casualty	6/29/2017	7/25/2023
Inactive	Non Resident	Agent	Property	6/29/2017	7/25/2023
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental American Insurance Company	301700	Agent - Health	9/26/2016
Active	Continental American Insurance Company	301700	Agent - Life	9/26/2016
Inactive	National Casualty Company	301483	Agent - Casualty	12/12/2018	7/25/2023
Inactive	National Casualty Company	301483	Agent - Property	12/12/2018	7/25/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/6/2016	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/6/2016	7/29/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	3/1/2019	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/6/2016	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/6/2016	7/29/2021
Inactive	Unum Insurance Company	301499	Agent - Health	3/1/2019	7/29/2021
Inactive	Unum Insurance Company	301499	Agent - Life	3/1/2019	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Casualty	5/17/2019	1/13/2021
Inactive	DVM Insurance Agency	636779	Agent - Property	5/17/2019	1/13/2021
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	2/1/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	2/1/2019
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	2/1/2019	7/25/2023
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Property	2/1/2019	7/25/2023