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		7/31/2025
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

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 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