DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Carlos L	DOIID	1181968	NAIC NPN	17791082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	11/15/2023		5/31/2025
Pending Replacement	Non Resident	Agent	Life	11/15/2023		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	11/18/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/7/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	11/18/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Life	11/18/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/10/2022	12/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/10/2022	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/10/2022	12/20/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/10/2022	12/20/2022
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/21/2023
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	11/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Purpose Insurance Agency, LLC	1213960	Agent - Health	11/18/2023	10/3/2024
Inactive	Purpose Insurance Agency, LLC	1213960	Agent - Life	11/18/2023	10/3/2024