DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tavira Hernandez, Rafaela	DOIID	816718	NAIC NPN	17028301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/25/2025		4/30/2027
* 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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/20/2013	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/20/2013	4/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/30/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/20/2013	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/20/2013	4/30/2019
Inactive	Humana Insurance Company	301104	Agent - Health	8/20/2013	4/30/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/20/2013	4/30/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/30/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/30/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/20/2013	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	4/30/2019