DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzalez Grullon, Gisell Giomary	DOIID	1044232	NAIC NPN	18084191

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/15/2024		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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/21/2024	10/29/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/28/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/19/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	4/19/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/17/2019	7/24/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	2/17/2021	9/30/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/22/2024	12/4/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	9/30/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/22/2024	12/4/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/13/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/26/2020	1/15/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/22/2024	12/4/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/28/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	3/5/2025
Inactive	Federal Insurance Company	301144	Agent - Health	10/26/2020	1/8/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/4/2020	1/20/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/22/2025
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/29/2020	5/4/2022
Active	SilverScript Insurance Company	663526	Agent - Health	4/19/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/13/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/13/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/19/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/16/2021	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/17/2019	4/28/2022