DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fidelis Ins& Financial Services LLC	DOIID	945242	NAIC NPN	18066108

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/20/2017	3/31/2019
Inactive	Non Resident	Agent	Health	2/20/2017	3/31/2019
* 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
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	5/18/2017	11/8/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/8/2018	10/10/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	4/8/2018	10/10/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	10/10/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/8/2018	10/10/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acevedo, Jonathan Gabriel	750212	Agent - Health	2/20/2017	3/31/2019
Inactive	Acevedo, Jonathan Gabriel	750212	Agent - Life	2/20/2017	3/31/2019