DEPARTMENT OF INSURANCE

Affiliations

Name	Carrillo, Pierre R	DOIID	960543	NAIC NPN	18474814

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/17/2017	3/31/2025
Active	Non Resident	Agent	Life	7/17/2017	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/29/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/29/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/29/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/20/2019
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/20/2019	4/8/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/20/2019	4/8/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	4/1/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Federal Insurance Company	301144	Agent - Health	3/19/2019	10/26/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	8/4/2020
Active	Golden Rule Insurance Company	301943	Agent - Life	8/4/2020
Inactive	Independence American Insurance Company	524747	Agent - Health	9/23/2019	12/30/2022
Active	Madison National Life Insurance Company Inc.	301458	Agent - Health	10/4/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/8/2023
Active	National Health Insurance Company	300554	Agent - Health	1/10/2020
Active	National Health Insurance Company	300554	Agent - Life	1/10/2020
Active	SilverScript Insurance Company	663526	Agent - Health	4/29/2021
Inactive	Time Insurance Company	300683	Agent - Health	6/1/2018	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	6/1/2018	11/22/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/3/2021	4/1/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/3/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/3/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/3/2021	4/1/2023
Active	Vision Service Plan Insurance Company	300526	Agent - Health	1/6/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/30/2020	3/4/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/30/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/18/2019	4/20/2022