DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Jason Edward	DOIID	1024261	NAIC NPN	18456671

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/29/2024		5/31/2025
Inactive	Non Resident	Agent	Health	1/7/2019	5/31/2023
* 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
Active	American National Insurance Company	301861	Agent - Life	4/17/2024
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	10/22/2019	5/31/2023
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	1/9/2019	10/1/2019
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	1/9/2019	10/1/2019
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	1/9/2019	10/1/2019
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	1/9/2019	10/1/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	11/4/2019	6/22/2022
Denied	Merrill Lynch Life Agency Inc.	400527	Agent - Health