DEPARTMENT OF INSURANCE
Affiliations
NameSirotak, Jason EDOIID303269NAIC NPN2987741
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/12/2023 6/30/2025
ActiveNon ResidentAgentLife9/12/2023 6/30/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities9/12/2023 6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health3/20/200612/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20077/6/2017
InactiveAetna Life Insurance Company301140Agent - Health3/20/20067/6/2017
InactiveAetna Life Insurance Company301140Agent - Life3/20/20067/6/2017
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/20216/30/2023
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/20216/30/2023
InactiveBrighthouse Life Insurance Company301829Agent - Health7/31/20136/30/2023
InactiveBrighthouse Life Insurance Company301829Agent - Life7/31/20136/30/2023
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities7/31/20136/30/2023
InactiveCompBenefits Dental, Inc.591692Agent - Health7/9/20107/20/2012
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/20216/30/2023
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20097/20/2012
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health8/4/200012/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life8/4/200012/23/2008
InactiveGeneral American Life Insurance Company300280Agent - Health6/7/200112/16/2009
InactiveGeneral American Life Insurance Company300280Agent - Life6/7/200112/16/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities6/7/200112/16/2009
InactiveHumana Health Plan, Inc.300142Agent - Health3/20/20097/20/2012
InactiveHumana Insurance Company301104Agent - Health2/15/20067/20/2012
InactiveHumana Insurance Company301104Agent - Life2/15/20067/20/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/15/20067/20/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/15/20067/20/2012
InactiveKanawha Insurance Company300127Agent - Health4/11/20087/20/2012
InactiveKanawha Insurance Company300127Agent - Life4/11/20087/20/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/25/20195/2/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/25/20195/2/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities9/25/20195/2/2022
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life11/17/20206/30/2023
InactiveMetLife Investors Insurance Company301872Agent - Health4/21/200511/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life4/21/200511/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities4/21/200511/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life4/21/200511/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities2/23/200911/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health11/8/19996/30/2023
InactiveMetropolitan Life Insurance Company301948Agent - Life11/8/19996/30/2023
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities3/26/20126/30/2023
InactiveNew England Life Insurance Company300343Agent - Health10/7/19996/30/2023
InactiveNew England Life Insurance Company300343Agent - Life10/7/19996/30/2023
InactiveNew England Life Insurance Company300343Agent - Variable Life and Variable Annuities5/31/20016/30/2023
InactivePaul Revere Life Insurance Company300971Agent - Health3/24/200012/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life3/24/200012/11/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/24/200012/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/24/200012/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Health3/24/200012/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life3/24/200012/30/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/10/200611/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/10/200611/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/10/200611/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/10/200611/30/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCBISA Reaquisitian Corp547026Agent - Life2/2/20066/30/2023
InactiveCBISA Reaquisitian Corp547026Agent - Health2/2/20066/30/2023
InactiveDesignated Agent Company Inc.681257Agent - Life12/16/20136/30/2023
InactiveDesignated Agent Company Inc.681257Agent - Health12/16/20136/30/2023
DeniedMML Insurance Agency LLC398679Agent - Life  
DeniedMML Insurance Agency LLC398679Agent - Health  
DeniedMML Insurance Agency LLC398679Agent - Variable Life and Variable Annuities  

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