DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Civils, Ja Nisha L	DOIID	1222178	NAIC NPN	20422476

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	8/11/2022		7/31/2027
Pending	Resident	Agent	Health
Pending	Resident	Agent	Life
* 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	05/15/2025	07/31/2025	06/13/2025	06/13/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	8/16/2022
Active	Triton Insurance Company	300654	Agent - Limited Line Credit	8/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	8/16/2022