DEPARTMENT OF INSURANCE
Affiliations
NameHendrickson, Jeremy DevonDOIID1113491NAIC NPN19709563
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth12/11/2020 11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/9/20213/19/2025
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/28/202112/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/9/20213/19/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/28/20213/19/2025
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/10/20239/8/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/10/20239/8/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGohealth LLC691445Agent - Health2/16/20249/8/2025

© Commonwealth of Kentucky. All rights reserved.