DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrillo Jr, Lupe	DOIID	967408	NAIC NPN	8143116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/12/2017	6/30/2020
Inactive	Non Resident	Agent	Health	9/12/2017	6/30/2020
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	6/30/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/24/2017	6/30/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	10/24/2017	6/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/21/2017	3/24/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/21/2017	3/24/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/24/2017	6/30/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/22/2017	3/15/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/20/2017	3/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/20/2017	3/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/20/2017	3/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/20/2017	3/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/20/2017	3/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/20/2017	3/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/20/2017	3/15/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	10/20/2017	8/8/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/11/2018	1/18/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	3/11/2018	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/18/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/11/2018	1/18/2019

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 - Life	9/21/2017	3/23/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/21/2017	3/23/2018