DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrizales, Orlando	DOIID	932132	NAIC NPN	18128975

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/7/2016		10/31/2025
Active	Non Resident	Agent	Property	12/2/2020		10/31/2025
Active	Non Resident	Agent	Health	10/7/2016		10/31/2025
Active	Non Resident	Agent	Casualty	12/2/2020		10/31/2025
* 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	08/15/2025	10/31/2025

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	11/17/2016
Active	Continental American Insurance Company	301700	Agent - Life	11/17/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/3/2017	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/3/2017	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	2/3/2017	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/3/2017	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
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	2/1/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	2/1/2019