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DEPARTMENT OF INSURANCE
Affiliations
Name
Bustamante, Raul
DOIID
1111917
NAIC NPN
9318162
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
8/23/2023
3/31/2026
Active
Non Resident
Agent
Health
8/23/2023
3/31/2026
Inactive
Non Resident
Staff Adjuster
Property & Casualty
11/24/2020
3/31/2024
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
12/29/2023
1/22/2025
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
12/29/2023
1/22/2025
Inactive
Aetna Life Insurance Company
301140
Agent - Health
12/29/2023
1/22/2025
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
12/13/2023
2/14/2025
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
12/13/2023
2/14/2025
Inactive
Compcare Health Services Insurance Corporation
948751
Agent - Health
12/13/2023
2/14/2025
Inactive
SilverScript Insurance Company
663526
Agent - Health
12/29/2023
1/22/2025
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
TZ Insurance Solutions LLC
727470
Agent - Life
Inactive
TZ Insurance Solutions LLC
727470
Agent - Health
1/23/2024
5/2/2024
Denied
Trubridge Inc
717747
Agent - Life
Inactive
Trubridge Inc
717747
Agent - Health
12/13/2023
4/10/2024
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