DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sylvain, Jonathan	DOIID	1040765	NAIC NPN	17595370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/16/2019	10/31/2020
Inactive	Non Resident	Agent	Life	5/16/2019	10/31/2020
Active	Non Resident	Independent Adjuster	Property & Casualty	4/14/2025		10/31/2026
* 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
Independent Adjuster	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	4/17/2020	10/31/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/18/2019	7/23/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	9/13/2019	10/31/2020
Inactive	Aspen American Insurance Company	301513	Agent - Health	4/9/2020	12/14/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/28/2019	10/31/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/28/2019	10/31/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/24/2019	11/3/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/24/2019	11/3/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/25/2019	10/31/2020
Inactive	NGL Insurance Company	300596	Agent - Health	4/20/2020	10/31/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	10/8/2019	10/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/12/2019	10/31/2020