DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Baise, Jennifer Elizabeth	DOIID	1015665	NAIC NPN	18905771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	1/3/2022		7/31/2027
Inactive	Non Resident	Agent	Health	10/19/2018	7/31/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/22/2018	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/22/2018	7/8/2021
Active	American Strategic Insurance Corp	883540	Agent - Personal Lines	2/27/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/22/2018	7/8/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	4/23/2024
Active	Homesite Insurance Company	301139	Agent - Personal Lines	4/9/2024
Active	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	4/9/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/10/2018	8/6/2019
Inactive	Humana Insurance Company	301104	Agent - Health	12/10/2018	8/6/2019
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Personal Lines	1/18/2022	1/30/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	6/26/2025
Active	Progressive Direct Insurance Company	301379	Agent - Personal Lines	2/27/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/13/2019	7/8/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/19/2018	3/11/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/19/2018	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/19/2018	3/11/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/19/2018	3/11/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/20/2018	7/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Personal Lines	1/18/2022	1/22/2024