DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ruiz, Ivelisse	DOIID	1033232	NAIC NPN	7721788

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/19/2019		4/30/2027
Active	Non Resident	Agent	Health	3/19/2019		4/30/2027
* 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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/28/2019	6/21/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/28/2019	6/21/2019
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/13/2019
Active	CHA HMO, Inc.	300662	Agent - Health	12/7/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	11/14/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/5/2020
Active	Emphesys Insurance Company	300598	Agent - Health	5/28/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/6/2019
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/4/2019
Active	Humana Health Plan, Inc.	300142	Agent - Health	8/28/2019
Active	Humana Insurance Company	301104	Agent - Health	8/28/2019
Active	Humana Insurance Company	301104	Agent - Life	8/28/2019
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	2/5/2020
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	2/5/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/13/2019
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/16/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/26/2019	6/21/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/26/2019	6/21/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/26/2019	6/21/2019

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	3/28/2019	6/21/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/28/2019	6/21/2019
Active	Humana MarketPOINT Inc.	398092	Agent - Health	11/22/2019