DEPARTMENT OF INSURANCE

Affiliations

Name	Trujillo, Miriam	DOIID	951543	NAIC NPN	8964300

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/11/2022	11/30/2024
Inactive	Non Resident	Agent	Life	10/11/2022	11/30/2024
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/30/2017	11/30/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/10/2017	11/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/30/2017	11/30/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/2/2017	11/30/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	5/10/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/9/2024	11/30/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/9/2024	11/30/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/10/2017	11/30/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/30/2017	11/30/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2017	5/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2017	5/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/23/2017	5/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/23/2017	5/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/27/2017	5/10/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/8/2024	11/30/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/8/2024	11/30/2024
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/20/2022	11/30/2024
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/20/2022	11/30/2024
Inactive	Starmount Life Insurance Company	628031	Agent - Health	8/8/2024	11/30/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/8/2024	11/30/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/8/2024	11/30/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/21/2017	9/7/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/21/2017	9/7/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/21/2017	9/7/2017
Inactive	Unum Insurance Company	301499	Agent - Health	8/8/2024	11/30/2024
Inactive	Unum Insurance Company	301499	Agent - Life	8/8/2024	11/30/2024

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 - Health	5/2/2017	11/30/2018