DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Victoria	DOIID	1094383	NAIC NPN	15421950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/18/2020	3/11/2026
* 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	Assurity Life Insurance Company	301099	Agent - Life	5/27/2021	10/5/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/28/2020	9/16/2024
Inactive	Monitor Life Insurance Company of New York	1117550	Agent - Life	2/22/2024	1/18/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Supermarket Inc	1097492	Agent - Life	9/10/2020	2/9/2026