DEPARTMENT OF INSURANCE

Affiliations

Name	Cisneros Iii, Alfonso	DOIID	928082	NAIC NPN	18051547

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/7/2016		9/30/2024
* 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
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	5/10/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/9/2017	12/21/2017
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/10/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	5/10/2024
Inactive	American Continental Insurance Company	643130	Agent - Health	4/19/2017	5/2/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/21/2024	9/30/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/21/2024	9/30/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/10/2018	5/4/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/25/2024	6/4/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/19/2019	5/4/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/21/2024	9/30/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/9/2017	12/21/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/3/2018	5/4/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/16/2016	7/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/10/2018	5/4/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/8/2018	5/4/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/3/2018	5/4/2022
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2018	5/4/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/3/2018	5/4/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/10/2018	5/4/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/10/2018	5/4/2022
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/10/2017	1/30/2018
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	1/25/2017	1/31/2019
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/29/2024
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	5/10/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/25/2024	6/4/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/27/2017	12/18/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/25/2024	6/4/2024

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	8/29/2017	12/21/2017
Pending Replacement	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2024