DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Van Valkenburg, Jason	DOIID	1043691	NAIC NPN	9841767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/12/2019		4/30/2026
Active	Non Resident	Agent	Life	6/12/2019		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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	7/20/2021
Active	American General Life Insurance Company	301585	Agent - Health	7/24/2024
Active	American General Life Insurance Company	301585	Agent - Life	7/24/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Lafayette Life Insurance Company (The)	301039	Agent - Health	10/7/2019
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	10/7/2019
Active	SilverScript Insurance Company	663526	Agent - Health	6/14/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/2/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/2/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/2/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2019	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019	12/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Legacy Insurance Advisors Inc	1062153	Agent - Life	10/22/2019
Active	Legacy Insurance Advisors Inc	1062153	Agent - Health	10/22/2019
Active	TBS Agency, Inc.	502294	Agent - Life	5/15/2024
Active	TBS Agency, Inc.	502294	Agent - Health	5/15/2024