DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jussila, Theresa Jean	DOIID	302295	NAIC NPN	829668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Prepaid Dental Plan	10/30/1997	10/26/2000
Inactive	Resident	Agent	Life	11/7/2006	9/1/2022
Inactive	Resident	Agent	Health	11/7/2006	9/1/2022
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/27/2014	10/30/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/27/2014	10/30/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/27/2007	9/1/2022
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/27/2007	9/1/2022
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/4/2007	9/19/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/4/2007	9/19/2011
Inactive	Continental American Insurance Company	301700	Agent - Health	1/30/2013	12/21/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	1/30/2013	12/21/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/22/2005	8/31/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/22/2005	8/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/4/2007	9/19/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/4/2007	11/9/2011
Inactive	Health Resources Inc.	301210	Agent - Prepaid Dental Plan	10/30/1997	10/26/2000
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Health	12/4/1998	8/31/2006
Inactive	PartnerRe Life Reinsurance Company of America	300550	Agent - Life	12/4/1998	8/31/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/12/2006	8/31/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/12/2006	8/31/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/12/2006	8/31/2006
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/12/2006	8/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/6/2018	9/1/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	9/1/2022
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Life	2/13/2007	9/16/2009
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Health	2/13/2007	9/16/2009