DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Jason Donielle	DOIID	685872	NAIC NPN	11070047

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/29/2012		3/31/2026
Active	Non Resident	Agent	Life	6/29/2012		3/31/2026
Inactive	Non Resident	Agent	Personal Lines	7/31/2008	10/11/2010
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017
Active	CHA HMO, Inc.	300662	Agent - Health	12/21/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/31/2012	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	11/18/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	7/31/2012
Active	Emphesys Insurance Company	300598	Agent - Health	10/15/2025
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	8/6/2008	5/6/2010
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/11/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/31/2012
Active	Humana Insurance Company	301104	Agent - Health	7/31/2012
Active	Humana Insurance Company	301104	Agent - Life	7/31/2012
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	7/31/2012
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	7/31/2012
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/5/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/5/2012	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/31/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/31/2012	10/22/2015
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	8/6/2008	5/6/2010
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	8/6/2008	5/6/2010
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	8/6/2008	5/6/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	11/21/2017