DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Walter S	DOIID	935610	NAIC NPN	2449229

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	11/27/2018	6/30/2026
Active	Non Resident	Agent	Health	11/3/2016	6/30/2026
Active	Non Resident	Agent	Life	11/3/2016	6/30/2026
* 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	04/15/2024	06/30/2024	05/02/2024	05/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	12/13/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/7/2018	12/15/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	8/7/2018	12/15/2020
Inactive	American Strategic Insurance Corp	883540	Agent - Personal Lines	9/1/2020	3/6/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	2/12/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	2/12/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/15/2018	2/12/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/15/2018	2/12/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/20/2018	12/10/2018
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/7/2016	3/19/2018
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	2/12/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/7/2018	12/15/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/20/2018	12/10/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	1/15/2019	3/2/2023
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	4/23/2024
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	3/31/2021	3/3/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	3/31/2021	3/3/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/20/2018	12/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/20/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/20/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	7/20/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2018	12/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/20/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/20/2018	12/10/2018
Inactive	Nationwide General Insurance Company	300603	Agent - Personal Lines	12/18/2019	3/6/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Personal Lines	11/18/2019	3/6/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	12/6/2018	3/6/2023
Inactive	QBE Insurance Corporation	300515	Agent - Personal Lines	12/5/2018	10/11/2022
Active	USAA Casualty Insurance Company	300995	Agent - Personal Lines	4/23/2024
Active	USAA General Indemnity Company	300131	Agent - Personal Lines	4/23/2024
Active	United Services Automobile Association	300158	Agent - Personal Lines	4/23/2024

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 - Life	6/15/2018	2/12/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/15/2018	2/12/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	1/16/2017	3/19/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	2/20/2017	4/18/2019