DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Manuel	DOIID	969887	NAIC NPN	18236102

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/27/2017		9/30/2024
Pending Replacement	Non Resident	Agent	Life	9/27/2017		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	2/6/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	11/2/2022	7/8/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	11/2/2022	7/8/2024
Pending Replacement	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/15/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	10/17/2017	7/8/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	10/17/2017	7/8/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/19/2024	10/11/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/19/2024	10/11/2024
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/14/2021
Pending Replacement	National Health Insurance Company	300554	Agent - Health	2/5/2021
Pending Replacement	National Health Insurance Company	300554	Agent - Life	2/5/2021
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	5/10/2023	8/14/2024
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	5/10/2023	8/14/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	10/17/2017	7/8/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	10/17/2017	7/8/2019