DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bautista, Ralph	DOIID	1271807	NAIC NPN	20204798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/29/2023		1/31/2027
Active	Non Resident	Agent	Life	4/29/2023		1/31/2027
* 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
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/10/2026
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/2/2023	5/21/2026
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/2/2023	5/21/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	5/2/2023	5/21/2026
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/2/2023	5/21/2026