DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kissner, Jodi Lynn	DOIID	1072363	NAIC NPN	9072041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/29/2020		8/31/2026
Active	Non Resident	Agent	Life	1/29/2020		8/31/2026
* 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
Agent	06/15/2024	08/31/2024	06/27/2024	06/27/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	4/18/2023
Active	American General Life Insurance Company	301585	Agent - Life	4/18/2023
Active	Banner Life Insurance Company	301696	Agent - Life	3/24/2021
Inactive	Pacific Life Insurance Company	301848	Agent - Life	1/30/2020	12/10/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life	9/27/2022
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health	9/27/2022	10/14/2022
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Life	4/16/2024
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Health	4/16/2024