DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mulsow, Jerilyn Ann	DOIID	1153633	NAIC NPN	20030694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2021	10/31/2023
Inactive	Non Resident	Agent	Life	8/23/2021	10/31/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/19/2021	4/28/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/19/2021	4/28/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/19/2021	4/28/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	2/21/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/19/2021	4/28/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/3/2021	2/21/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/3/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/3/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/3/2021	2/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Clear Link Ins Agency LLC	805173	Agent - Life
Inactive	Clear Link Ins Agency LLC	805173	Agent - Health	10/6/2021	3/15/2022