DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Trisha	DOIID	976923	NAIC NPN	18527790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/1/2023	9/30/2026
Active	Non Resident	Agent	Life	3/1/2023	9/30/2026
* 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	09/24/2024	09/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	4/4/2023	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	4/20/2022	9/30/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/20/2022	9/30/2022
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	6/18/2019	9/30/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	4/15/2022	4/22/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	4/15/2022	4/22/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/19/2021	9/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/19/2021	9/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/19/2021	9/30/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	9/30/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	5/1/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/4/2023
Inactive	Federal Insurance Company	301144	Agent - Health	2/13/2018	12/9/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/23/2021	10/4/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/23/2021	10/4/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/13/2020	9/30/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/3/2024
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	12/7/2017	2/11/2019
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	4/24/2018	3/4/2019
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	9/30/2021	10/18/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/17/2020	9/30/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/29/2021	9/30/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	3/30/2020	9/30/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2022	9/30/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/29/2022	9/30/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/29/2022	9/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/16/2019	8/16/2022