DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Jonathan	DOIID	1005587	NAIC NPN	18846916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/7/2020	11/30/2021
Inactive	Non Resident	Agent	Property	8/17/2018	11/30/2019
Inactive	Non Resident	Agent	Casualty	8/17/2018	11/30/2019
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/26/2021	10/23/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	10/23/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	10/23/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/13/2020	1/11/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	10/23/2021
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	8/23/2018	11/30/2019
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	8/23/2018	11/30/2019
Inactive	Humana Insurance Company	301104	Agent - Health	9/18/2020	1/11/2022
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	8/23/2018	11/30/2019
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	8/23/2018	11/30/2019
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	8/23/2018	11/30/2019
Inactive	USAA General Indemnity Company	300131	Agent - Property	8/23/2018	11/30/2019
Inactive	United Services Automobile Association	300158	Agent - Casualty	8/23/2018	11/30/2019
Inactive	United Services Automobile Association	300158	Agent - Property	8/23/2018	11/30/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/21/2020	2/10/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/21/2020	2/10/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/21/2020	2/10/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/21/2020	2/10/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/29/2020	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/29/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/21/2020	5/24/2021