DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Jaime	DOIID	780323	NAIC NPN	16614956

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/23/2018	7/31/2019
Inactive	Non Resident	Agent	Life	1/23/2018	7/31/2019
Inactive	Non Resident	Agent	Personal Lines	4/27/2012	7/31/2017
* 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	21st Century North America Insurance Company	300884	Agent - Personal Lines	5/3/2012	9/8/2016
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	2/6/2016	8/30/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	2/19/2018	12/11/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	2/19/2018	12/11/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/4/2019	7/31/2019

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	2/19/2018	12/11/2018
Inactive	Ushealth Advisors Llc	713288	Agent - Health	2/19/2018	12/11/2018