DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zajac-Simmons, Joshua Edward	DOIID	1083635	NAIC NPN	19488712

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/25/2022	5/31/2023
Inactive	Non Resident	Agent	Health	2/25/2022	5/31/2023
* 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	5/19/2020	4/6/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/19/2020	4/6/2021
Denied	UnitedHealthcare Insurance Company	300946	Agent - Health
Denied	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health
Denied	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health
Denied	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health

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	5/19/2020	4/6/2021
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/19/2020	4/6/2021