DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Anicka, Jean Arlene	DOIID	323651	NAIC NPN	1493793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	9/12/2014
Inactive	Resident	Agent	General Lines	3/1/1996	8/15/2000
Inactive	Resident	Agent	Life	5/30/1996	9/12/2014
Inactive	Resident	Agent	Property	8/15/2000	9/12/2014
Inactive	Resident	Agent	Health Maintenance Organization	1/27/1997	3/1/2001
Inactive	Resident	Agent	Health	5/30/1996	9/12/2014
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	6/17/1999	7/3/1999
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/17/1999	7/3/1999
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	6/11/2010
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	1/27/1997	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Casualty	8/15/2000	10/10/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - General Lines	10/19/1998	8/15/2000
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/13/1998	6/11/2010
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Property	8/15/2000	10/10/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/30/1996	9/12/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/30/1996	9/12/2014
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/1/1996	11/20/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/6/1997	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/6/1997	2/28/2003