DEPARTMENT OF INSURANCE

Affiliations

Name	Van Name, Jennifer Gay	DOIID	1103142	NAIC NPN	12361452

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2020	8/31/2024
Active	Non Resident	Agent	Life	10/6/2020	8/31/2024
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/29/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	12/29/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/25/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/29/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/25/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	7/18/2022	10/11/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	7/18/2022	10/11/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/27/2022	12/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/27/2022	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/27/2022	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/15/2020	6/14/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/15/2020	6/14/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/17/2022	2/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/27/2022	12/20/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/29/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/29/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/9/2022	3/20/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/9/2022	3/20/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	10/7/2020	11/25/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	11/29/2020	12/15/2022
Active	SilverScript Insurance Company	663526	Agent - Health	7/25/2022
Inactive	United Home Life Insurance Company	300421	Agent - Life	7/13/2022	3/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/10/2022	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/10/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/10/2022	2/19/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2020	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/22/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024