DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Marcos	DOIID	1132894	NAIC NPN	19859984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/18/2022		9/30/2028
Inactive	Non Resident	Agent	Life	6/7/2021	9/17/2024
Pending Replacement	Non Resident	Agent	Property	5/4/2021		9/30/2026
Pending Replacement	Non Resident	Agent	Health	6/7/2021		9/30/2026
Pending Replacement	Non Resident	Agent	Casualty	5/4/2021		9/30/2026
Pending Replacement	Non Resident	Independent Adjuster	Property & Casualty	2/19/2025		9/30/2026
Active	Non Resident	Managing General Agent	Not Applicable	6/9/2022		9/30/2028
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/25/2022	4/1/2024
* 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
Administrator	07/15/2026	09/30/2026	09/25/2026	09/25/2026	Yes
Agent	07/15/2026	09/30/2026
Independent Adjuster	07/15/2026	09/30/2026
Managing General Agent	07/15/2026	09/30/2026	09/30/2026	09/30/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Obsidian Insurance Company	301819	Agent - Casualty	3/2/2022
Pending Replacement	Obsidian Insurance Company	301819	Agent - Health	4/8/2022
Pending Replacement	Obsidian Insurance Company	301819	Agent - Property	3/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Masa Insurance Services Inc.	1133707	Agent - Casualty	6/9/2022	10/20/2026
Inactive	Masa Insurance Services Inc.	1133707	Agent - Casualty	9/9/2025	10/20/2026
Inactive	Masa Insurance Services Inc.	1133707	Agent - Property	7/31/2024	10/20/2026
Inactive	Masa Insurance Services Inc.	1133707	Agent - Property	9/9/2025	10/20/2026
Denied	Masa Insurance Services Inc.	1133707	Agent - Life
Inactive	Masa Insurance Services Inc.	1133707	Agent - Health	7/31/2024	10/20/2026
Active	Masa Insurance Services Inc.	1133707	Managing General Agent - Not Applicable	6/9/2022
Inactive	Masa Insurance Services Inc.	1133707	Administrator - Not Applicable	3/2/2022	10/20/2026
Inactive	Masa Insurance Services Inc.	1133707	Surplus Lines Broker - Not Applicable	7/1/2022	4/1/2024
Pending Replacement	Masa Insurance Services Inc.	1133707	Independent Adjuster - Property & Casualty	2/24/2025