DEPARTMENT OF INSURANCE

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.

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