DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Jason	DOIID	618931	NAIC NPN	8513658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/11/2021		5/31/2025
Pending Replacement	Non Resident	Agent	Life	4/27/2023		5/31/2025
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/30/2013	6/7/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/9/2009	5/31/2011
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/11/2021	4/8/2024
Inactive	Continental American Insurance Company	301700	Agent - Health	11/8/2013	5/31/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/27/2021	3/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	5/1/2023	4/8/2024
Denied	Paychex Insurance Agency Inc	509469	Agent - Life