DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Myatt, Jason K	DOIID	323436	NAIC NPN	7169442

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/4/1999	3/31/2001
Inactive	Resident	Agent	Life	1/4/1999	3/31/2001
* 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	Kansas City Life Insurance Company	301444	Agent - Health	1/4/1999	5/3/1999
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	1/4/1999	5/3/1999
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	4/23/1999	3/31/2001
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	4/23/1999	3/31/2001
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	4/14/1999	7/19/1999
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	4/14/1999	7/19/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior American Benefits, LLC	502287	Agent - Life	3/16/2000	3/5/2001
Inactive	Senior American Benefits, LLC	502287	Agent - Health	3/16/2000	3/5/2001