DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Zambrano, Jorge O	DOIID	990046	NAIC NPN	8318767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/6/2023		9/30/2025
Active	Non Resident	Agent	Life	2/6/2023		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CareSource Kentucky Co.	838179	Agent - Health	10/19/2023
Inactive	Combined Insurance Company of America	301472	Agent - Health	4/12/2018	9/30/2019
Inactive	Combined Insurance Company of America	301472	Agent - Life	4/12/2018	9/30/2019
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	2/14/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	2/14/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Health	9/25/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Life	9/25/2024
Active	Starmount Life Insurance Company	628031	Agent - Health	2/14/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	2/14/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	2/14/2023
Active	Unum Insurance Company	301499	Agent - Health	2/14/2023
Active	Unum Insurance Company	301499	Agent - Life	2/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Life	9/19/2023
Active	Gallagher Benefit Services Inc	525782	Agent - Health	9/19/2023