DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	De La Rosa, Cristian Jose	DOIID	851496	NAIC NPN	17362250

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/5/2024		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/11/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/11/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/11/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/24/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/16/2014	11/12/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/16/2014	11/12/2015
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/14/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/25/2016	9/30/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/25/2016	9/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/25/2016	9/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	7/25/2016	9/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/25/2016	9/30/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/25/2016	9/30/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	9/30/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/16/2014	10/22/2015
Active	SilverScript Insurance Company	663526	Agent - Health	6/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/24/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/2/2024

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	11/12/2015