DEPARTMENT OF INSURANCE

Affiliations

Name	Mendoza, Juan	DOIID	1009358	NAIC NPN	18369555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/29/2023	12/31/2024
Inactive	Non Resident	Agent	Personal Lines	9/25/2021	12/31/2022
Inactive	Non Resident	Agent	Life	8/29/2023	12/31/2024
* 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	AMEX Assurance Company	301728	Agent - Health	2/1/2022	4/28/2022
Inactive	AMEX Assurance Company	301728	Agent - Personal Lines	2/1/2022	4/28/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/5/2023	12/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/5/2023	12/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/5/2023	12/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/10/2018	12/31/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/29/2022	12/31/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/10/2018	12/31/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2018	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	10/15/2018	4/8/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/5/2023	12/31/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	10/8/2018	3/30/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2022	12/31/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/29/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/15/2018	1/25/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/29/2022	12/31/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/13/2023	11/11/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/13/2023	11/11/2024
Inactive	Western United Life Insurance Company	659052	Agent - Health	9/25/2018	7/25/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurant Insurance Agency, Inc	559398	Agent - Life
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Health	10/26/2021	7/29/2022