DEPARTMENT OF INSURANCE

Affiliations

Name	Medicare Complete	DOIID	1342029	NAIC NPN	20468236

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/24/2024	3/31/2026
Active	Non Resident	Agent	Life	5/24/2024	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	David, Jeremiah Alan	913330	Agent - Health	5/24/2024
Active	David, Jeremiah Alan	913330	Agent - Life	5/24/2024