DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Head, Jeremy S	DOIID	1078080	NAIC NPN	19374489

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/19/2022	4/30/2025
Inactive	Non Resident	Agent	Health	10/19/2022	4/30/2025
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	3/18/2020	6/4/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/18/2020	6/4/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/15/2020	4/30/2021
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	10/21/2022	6/17/2025
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	10/21/2022	6/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	3/18/2020	6/4/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Health	3/18/2020	6/4/2021