DEPARTMENT OF INSURANCE

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		8/31/2024
Active	Non Resident	Agent	Life	1/14/2021		8/31/2024
* 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	06/15/2024	08/31/2024

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