DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Munoz, Mayra Romero	DOIID	943694	NAIC NPN	18275375

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/1/2017		2/28/2026
Active	Non Resident	Agent	Casualty	6/30/2017		2/28/2026
Active	Non Resident	Agent	Health	2/1/2017		2/28/2026
Active	Non Resident	Agent	Property	6/30/2017		2/28/2026
* 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	2/23/2017
Active	Continental American Insurance Company	301700	Agent - Life	2/23/2017
Active	National Casualty Company	301483	Agent - Casualty	12/12/2018
Active	National Casualty Company	301483	Agent - Property	12/12/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/8/2017	7/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/8/2017	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/8/2017	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/8/2017	7/17/2020

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 - Property	5/22/2019	1/13/2021
Inactive	DVM Insurance Agency	636779	Agent - Casualty	5/22/2019	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
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Property	2/1/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	2/1/2019