DEPARTMENT OF INSURANCE

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.

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