DEPARTMENT OF INSURANCE

Affiliations

Name	Jordan, Glen R	DOIID	333125	NAIC NPN	5937711

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	4/24/2001	2/28/2026
Active	Resident	Agent	Health	2/15/1994	2/28/2026
Active	Resident	Agent	Life	2/15/1994	2/28/2026
Active	Resident	Agent	Casualty	4/24/2001	2/28/2026
* 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	3/11/2002	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/11/2002	11/21/2007
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	4/24/2001	8/10/2009
Inactive	Allstate Indemnity Company	300778	Agent - Property	4/24/2001	8/10/2009
Inactive	Allstate Insurance Company	300773	Agent - Casualty	4/24/2001	8/10/2009
Inactive	Allstate Insurance Company	300773	Agent - Property	4/24/2001	8/10/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	8/10/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	8/10/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/15/2016	4/13/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/15/2016	4/13/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	6/30/2004	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	6/30/2004	10/25/2012
Active	American Heritage Life Insurance Company	300272	Agent - Health	3/4/2013
Active	American Heritage Life Insurance Company	300272	Agent - Life	3/4/2013
Inactive	American Network Insurance Company	301156	Agent - Health	5/3/1996	2/25/2002
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	12/6/2004
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/27/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	4/26/2004
Active	Anthem Life Insurance Company	301209	Agent - Life	4/26/2004
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/19/2006	1/26/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/19/2006	1/26/2009
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	8/23/2011	3/2/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	8/23/2011	3/2/2020
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	2/15/1994	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	2/15/1994	12/31/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/1/1998	8/9/2008
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/26/2004	6/24/2005
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	1/13/2005
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	1/13/2005
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Health	1/21/2005	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	1/21/2005	11/12/2012
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	2/28/1997	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	2/28/1997	4/1/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	8/8/1994	12/31/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	8/8/1994	12/31/1998
Inactive	Columbian Life Insurance Company	300810	Agent - Health	6/2/2004	7/2/2013
Inactive	Columbian Life Insurance Company	300810	Agent - Life	6/2/2004	8/26/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/27/2021
Inactive	Conseco Health Insurance Company	301725	Agent - Health	3/16/2001	4/7/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	3/16/2001	4/7/2003
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	1/23/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	1/23/2007
Inactive	Continental General Insurance Company	300691	Agent - Health	10/27/2003	11/5/2003
Inactive	Continental General Insurance Company	300691	Agent - Life	10/27/2003	11/5/2003
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/13/2005
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/4/2004	12/29/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Health	12/1/2000	8/10/2009
Inactive	Everlake Life Insurance Company	300873	Agent - Life	12/1/2000	8/10/2009
Active	FB Insurance Company (The)	301763	Agent - Casualty	12/22/2004
Active	FB Insurance Company (The)	301763	Agent - Health	12/22/2004
Active	FB Insurance Company (The)	301763	Agent - Property	12/22/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/3/2008	7/26/2016
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/3/2001	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/3/2001	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/13/1995	10/31/1996
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/13/1995	10/31/1996
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/13/2005	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/13/2005	12/20/2023
Inactive	Forethought Life Insurance Company	301407	Agent - Life	11/19/2009	11/27/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/18/2003	12/4/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/18/2003	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Active	Gerber Life Insurance Company	300529	Agent - Health	9/25/2019
Active	Gerber Life Insurance Company	300529	Agent - Life	9/25/2019
Active	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	3/11/2018
Active	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	3/11/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/7/2003	12/14/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/7/2003	12/14/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/13/2005	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/13/2005	10/5/2021
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/16/2011	11/8/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/16/2011	11/8/2013
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/9/1998	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/9/1998	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	5/15/1998	5/24/1999
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	5/15/1998	5/24/1999
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/16/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/16/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/23/2014
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/23/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/22/2004
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/22/2004
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/22/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	10/29/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	10/29/2001
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	8/13/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	8/13/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/19/1997	8/10/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/19/1997	8/10/2009
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	10/10/2008	3/23/2010
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	10/10/2008	3/23/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	3/20/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	3/20/2009
Inactive	Manhattan Life Insurance Company	300880	Agent - Life	12/30/1997	10/26/1998
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	1/21/2005	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	1/21/2005	11/12/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/27/2005	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/27/2005	11/26/2009
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	11/13/1996	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	11/13/1996	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Health	2/4/2003	8/24/2006
Inactive	Midland National Life Insurance Company	300923	Agent - Life	2/4/2003	8/24/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	2/20/1997	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	2/20/1997	3/31/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/21/1998	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/21/1998	8/24/2000
Inactive	Pioneer American Insurance Company	301268	Agent - Health	10/4/2007	12/4/2008
Inactive	Pioneer American Insurance Company	301268	Agent - Life	10/4/2007	12/4/2008
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	9/19/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	9/19/1997	10/23/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/16/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/16/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/24/1996	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/24/1996	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/13/2004	12/4/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/3/2015	11/25/2020
Inactive	Prudential Insurance Company of America	300784	Agent - Health	8/13/2004	12/5/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Life	8/13/2004	12/5/2006
Inactive	Settlers Life Insurance Company	300189	Agent - Health	11/29/1995	9/25/2000
Inactive	Settlers Life Insurance Company	300189	Agent - Life	11/29/1995	12/31/1998
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	6/2/2000	6/25/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	6/2/2000	6/25/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/22/2004
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/22/2004
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	1/14/1998	5/2/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	1/14/1998	5/2/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/12/2000	1/15/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	7/12/2000	1/15/2003
Inactive	State Life Insurance Company	301497	Agent - Health	2/12/2004	1/31/2007
Inactive	State Life Insurance Company	301497	Agent - Life	2/12/2004	1/31/2007
Inactive	Symetra Life Insurance Company	301691	Agent - Health	2/11/1997	12/17/2013
Inactive	Symetra Life Insurance Company	301691	Agent - Life	2/11/1997	12/17/2013
Inactive	Transamerica Assurance Company	300893	Agent - Health	9/24/2001	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	9/24/2001	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/6/2004	3/10/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/6/2004	3/10/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/4/2001	9/24/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/4/2001	9/24/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	4/13/1998	7/30/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/13/1998	7/30/2007
Inactive	United Home Life Insurance Company	300421	Agent - Life	3/23/2004	6/18/2008
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	8/19/1998	5/22/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/19/1998	5/22/2001
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/15/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/15/1995	3/31/1997
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	5/19/2005	11/15/2011
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Health	6/16/2000	10/25/2005
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Life	6/16/2000	10/25/2005
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/3/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/3/2011	6/23/2017
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/29/2004	11/21/2007
Inactive		300277	Agent - Health	5/6/1998	1/1/2007
Inactive		300277	Agent - Life	5/6/1998	1/1/2007

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 - Life	4/20/2004	2/28/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/20/2004	2/28/2005
Inactive	B.R.& W. Insurance Corp	399500	Agent - Life	3/30/2001	3/31/2023
Inactive	B.R.& W. Insurance Corp	399500	Agent - Health	3/30/2001	3/31/2023
Inactive	Clarke Management Group LLC	399650	Agent - Life	6/13/1997	2/18/2003
Inactive	Clarke Management Group LLC	399650	Agent - Health	6/13/1997	2/18/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	10/27/2005	5/3/2017
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	Jordan Insurance Agency Inc.	848786	Agent - Life	8/19/2014
Active	Jordan Insurance Agency Inc.	848786	Agent - Health	8/19/2014
Active	Jordan Insurance Agency Inc.	848786	Agent - Property	8/19/2014
Active	Jordan Insurance Agency Inc.	848786	Agent - Casualty	8/19/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/22/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/22/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/22/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/22/2004
Active	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/14/2016
Active	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/14/2016