DEPARTMENT OF INSURANCE

Affiliations

Name	Tristan, Jose	DOIID	980712	NAIC NPN	18621536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/5/2018	4/30/2025
Active	Non Resident	Agent	Life	1/5/2018	4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	4/20/2018	10/10/2019
Inactive	Accendo Insurance Company	300312	Agent - Health	2/8/2023	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	2/8/2023	1/13/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/24/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/8/2023	1/13/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/24/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/24/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	11/10/2018	12/15/2020
Active	American General Life Insurance Company	301585	Agent - Health	5/24/2024
Active	American General Life Insurance Company	301585	Agent - Life	5/24/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/15/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/15/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/15/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/19/2022	1/6/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/25/2023	4/1/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/15/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/8/2023	1/13/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/8/2023	1/13/2024
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	6/30/2021	12/11/2023
Inactive	Humana Insurance Company	301104	Agent - Health	3/23/2022	1/6/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/29/2023	5/9/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/18/2018	7/17/2019
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/12/2019	8/16/2019
Active	SilverScript Insurance Company	663526	Agent - Health	4/4/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/25/2023	4/1/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/1/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/1/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/25/2023	4/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Health Iq Insurance Services, Inc	882220	Agent - Life
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	9/22/2021	3/2/2023
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/24/2018	3/26/2019