DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Jai Evan	DOIID	1366165	NAIC NPN	20682663

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/29/2024		11/30/2025
Active	Non Resident	Agent	Health	10/7/2024		11/30/2025
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/9/2024
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/9/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/7/2024	1/21/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/7/2024	1/21/2025
Active	CMFG Life Insurance Company	300929	Agent - Life	12/17/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/7/2024	1/21/2025
Active	Tier One Insurance Company	301056	Agent - Health	11/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Health	12/5/2024
Active	Sutherland Global Services Inc	601788	Agent - Life	12/9/2024