DEPARTMENT OF INSURANCE

Affiliations

Name	Bernal, Juan	DOIID	1054081	NAIC NPN	19232340

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/28/2019		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	Aetna Health Inc. (PA)	660717	Agent - Health	10/24/2019	7/8/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	7/8/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/24/2019	7/8/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/3/2020	1/20/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/12/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/21/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	9/12/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	1/20/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	9/20/2022
Active	Emphesys Insurance Company	300598	Agent - Health	10/24/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/3/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/11/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/16/2024
Active	Humana Insurance Company	301104	Agent - Health	9/12/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/27/2020	12/15/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/12/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/11/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/24/2019	7/8/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/9/2019	2/21/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/9/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/9/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/9/2019	2/21/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/25/2020	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/25/2020	5/31/2023

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 - Health	3/3/2020	1/24/2022
Active	Humana MarketPOINT Inc.	398092	Agent - Health	5/30/2023