DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Polanco, Jeffrey	DOIID	1113731	NAIC NPN	16840210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/14/2021		6/30/2026
Active	Non Resident	Agent	Life	12/14/2020		6/30/2026
* 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
Active	American General Life Insurance Company	301585	Agent - Health	8/5/2022
Active	American General Life Insurance Company	301585	Agent - Life	8/5/2022
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/22/2021	7/11/2024
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/22/2021	7/11/2024
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Health	12/22/2021	7/11/2024
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	12/22/2021	7/11/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/22/2021	7/11/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/22/2021	7/11/2024
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/30/2022
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	12/18/2020	3/11/2021
Active	Standard Insurance Company	300185	Agent - Health	6/22/2022
Active	Standard Insurance Company	300185	Agent - Life	6/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Jurs Montgomery Brokerage LLC	874203	Agent - Life	12/22/2021
Active	Jurs Montgomery Brokerage LLC	874203	Agent - Health	12/22/2021