DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hawkins, Jeremy	DOIID	1052499	NAIC NPN	19238366

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/20/2019	9/30/2020
Inactive	Non Resident	Agent	Health	8/20/2019	9/30/2020
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	9/30/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	9/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	9/30/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/11/2019	9/30/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/11/2019	9/30/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/11/2019	9/30/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2019	6/2/2020
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/9/2019	9/30/2020
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	11/1/2019	2/11/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/17/2019	9/30/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/8/2019	12/3/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/8/2019	12/3/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/8/2019	12/3/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/8/2019	12/3/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/27/2019	12/13/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019	12/13/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	9/11/2019	12/3/2019
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	9/9/2019	12/3/2019