DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medalie, Jonathan	DOIID	329544	NAIC NPN	3310663

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/19/2018		4/30/2025
Active	Non Resident	Agent	Life	7/19/2018		4/30/2025
Inactive	Non Resident	Agent	Health Maintenance Organization	8/3/1999	3/12/2001
Denied	Non Resident	Life & Health Consultant	Not Applicable
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

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	2/23/1999	3/14/2001
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/23/1999	3/21/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/18/2011	4/30/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	8/3/1999	3/12/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/18/2011	10/12/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/15/2011	4/30/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/15/2011	4/30/2013

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	6/24/2008	4/30/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	4/30/2011
Denied	Propel Insurance Agency , LLC	536922	Agent - Life
Denied	Propel Insurance Agency , LLC	536922	Agent - Health