DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Maribel	DOIID	970759	NAIC NPN	17079940

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/3/2017	7/31/2020
Inactive	Non Resident	Agent	Life	10/3/2017	7/31/2020
Inactive	Non Resident	Agent	Personal Lines	10/3/2017	7/31/2020
* 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	Bristol West Insurance Company	301655	Agent - Personal Lines	10/18/2018	1/27/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	10/16/2018	1/27/2020
Inactive	National General Insurance Company	300152	Agent - Personal Lines	10/6/2017	5/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	National General Ins Marketing Inc	621228	Agent - Health
Inactive	National General Ins Marketing Inc	621228	Agent - Personal Lines	10/12/2017	5/9/2019
Denied	National General Ins Marketing Inc	621228	Agent - Life