DEPARTMENT OF INSURANCE
Affiliations
NameVan Valkenburg, Jason DOIID1043691NAIC NPN9841767
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/12/2019 4/30/2026
ActiveNon ResidentAgentLife6/12/2019 4/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health4/9/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health4/9/2021 
ActiveAllianz Life Insurance Company of North America301791Agent - Life7/20/2021 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveLafayette Life Insurance Company (The)301039Agent - Health10/7/2019 
ActiveLafayette Life Insurance Company (The)301039Agent - Life10/7/2019 
ActiveSilverScript Insurance Company663526Agent - Health6/14/2019 
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/2/2022 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health2/2/202212/22/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/2/2022 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/21/201912/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/21/201912/28/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveLegacy Insurance Advisors Inc1062153Agent - Life10/22/2019 
ActiveLegacy Insurance Advisors Inc1062153Agent - Health10/22/2019 
ActiveTBS Agency, Inc.502294Agent - Life5/15/2024 
ActiveTBS Agency, Inc.502294Agent - Health5/15/2024 

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