DEPARTMENT OF INSURANCE

Affiliations

Name	Polanco, Jose	DOIID	994376	NAIC NPN	18456597

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/2/2022	6/30/2026
Active	Non Resident	Agent	Health	9/2/2022	6/30/2026
* 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	04/15/2024	06/30/2024	05/02/2024	05/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/4/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	5/11/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	5/11/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/3/2020	6/12/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/30/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	6/12/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/3/2020	6/12/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/28/2020	6/30/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	4/5/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	4/5/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	6/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/26/2020	6/30/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/22/2021	5/6/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/28/2018	3/2/2020
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	5/5/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020	6/30/2022
Active	Cigna National Health Insurance Company	300235	Agent - Health	1/25/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	4/5/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/30/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/30/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/13/2018	7/22/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/7/2021	6/26/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/7/2021	6/26/2022
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	8/13/2018	8/8/2019
Inactive	Humana Insurance Company	301104	Agent - Health	8/22/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/22/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/22/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/22/2018	12/10/2018
Active	Loyal American Life Insurance Company	301172	Agent - Health	6/13/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/8/2019	6/30/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/3/2020	6/12/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	6/30/2022
Active	Tier One Insurance Company	301056	Agent - Health	9/22/2023
Active	Tier One Insurance Company	301056	Agent - Life	9/22/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	6/25/2018	11/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2022	6/8/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/12/2020	5/12/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/12/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/12/2020	5/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/2/2020	6/30/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/2/2020	6/30/2022
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	9/30/2022
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	9/30/2022
Inactive	Spring Ins Solutions LLC	788951	Agent - Life	2/26/2020	11/16/2021
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019	11/16/2021