DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez-Torres, Marilyn	DOIID	969658	NAIC NPN	18539817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/14/2021		8/31/2026
Active	Non Resident	Agent	Life	1/14/2021		8/31/2026
* 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	Continental American Insurance Company	301700	Agent - Health	12/30/2017	8/31/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	12/30/2017	8/31/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/8/2021	11/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/8/2021	11/30/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	6/8/2021	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/8/2021	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/8/2021	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Health	6/8/2021	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Life	6/8/2021	11/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/28/2019	8/31/2020
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/28/2019	8/31/2020