DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bender, Janson J	DOIID	1105300	NAIC NPN	7709944

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/15/2020	12/31/2022
Inactive	Non Resident	Agent	Life	10/15/2020	12/31/2022
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	10/14/2022	12/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mutual Med Insurance Services LLC	1105629	Agent - Life	10/20/2020	12/31/2022
Inactive	Mutual Med Insurance Services LLC	1105629	Agent - Health	10/20/2020	12/31/2022
Inactive	Mutual Med Insurance Services Southeast LLC	1110230	Agent - Life	11/12/2020	12/31/2022
Inactive	Mutual Med Insurance Services Southeast LLC	1110230	Agent - Health	11/12/2020	12/31/2022