DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Munoz, Mayra Romero	DOIID	943694	NAIC NPN	18275375

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/1/2017		2/28/2026
Active	Non Resident	Agent	Life	2/1/2017		2/28/2026
Active	Non Resident	Agent	Casualty	6/30/2017		2/28/2026
Active	Non Resident	Agent	Property	6/30/2017		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental American Insurance Company	301700	Agent - Health	2/23/2017
Active	Continental American Insurance Company	301700	Agent - Life	2/23/2017
Active	National Casualty Company	301483	Agent - Casualty	12/12/2018
Active	National Casualty Company	301483	Agent - Property	12/12/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/8/2017	7/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/8/2017	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/8/2017	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/8/2017	7/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	5/22/2019	1/13/2021
Inactive	DVM Insurance Agency	636779	Agent - Casualty	5/22/2019	1/13/2021
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	2/1/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	2/1/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Property	2/1/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	2/1/2019