DEPARTMENT OF INSURANCE

Affiliations

Name	Jaen, Bladimir A	DOIID	1167419	NAIC NPN	8770829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/19/2021	11/30/2023
Inactive	Non Resident	Agent	Life	10/19/2021	11/30/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Life
Denied	Optavise, LLC	671337	Agent - Health