DEPARTMENT OF INSURANCE
Affiliations
NameLaurich-Malison, Jill A.DOIID348896NAIC NPN3315767
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization6/24/19983/1/2001 
InactiveResidentAgentLife2/6/199611/30/2020 
InactiveResidentAgentHealth2/6/199611/30/2020 
AFFIDAVIT ON FILE
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/200110/16/2003
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization6/24/19983/1/2001
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/24/199810/16/2003
InactiveAnthem Life Insurance Company301209Agent - Health2/6/199610/16/2003
InactiveAnthem Life Insurance Company301209Agent - Life2/6/199610/16/2003
InactiveDearborn Life Insurance Company300401Agent - Health12/31/20041/19/2005
InactiveDearborn Life Insurance Company300401Agent - Life12/31/20041/19/2005
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health7/28/19983/3/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life7/28/19983/3/2004
InactiveMedical Life Insurance Company300693Agent - Health7/9/199812/31/2004
InactiveMedical Life Insurance Company300693Agent - Life7/9/199812/31/2004
InactiveReassure America Life Insurance Company301902Agent - Health5/5/19981/3/2003
InactiveReassure America Life Insurance Company301902Agent - Life5/5/19981/3/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life3/10/19982/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Health3/10/19982/28/2003

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