DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez Jr, Manny	DOIID	949821	NAIC NPN	18020095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/31/2017	10/31/2019
Inactive	Non Resident	Agent	Life	3/31/2017	10/31/2019
* 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	Golden Rule Insurance Company	301943	Agent - Health	10/26/2017	8/11/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/26/2017	8/11/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/20/2017	12/21/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/20/2017	12/21/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	4/25/2017	10/19/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/25/2017	10/19/2017