DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Mia	DOIID	1427572	NAIC NPN	21715089

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2025		5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/7/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	11/7/2025
Active	SilverScript Insurance Company	663526	Agent - Health	11/7/2025
Active	Tier One Insurance Company	301056	Agent - Health	10/13/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Health	12/1/2025