DEPARTMENT OF INSURANCE
Affiliations
NamePomeroy, Jacques CDOIID359368NAIC NPN1855585
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth Maintenance Organization1/4/19903/1/2001 
InactiveNon ResidentAgentLife9/2/20056/30/2007 
InactiveNon ResidentAgentVariable Life and Variable Annuities9/2/20056/30/2007 
InactiveNon ResidentAgentHealth9/2/20056/30/2007 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/20/200511/28/2006
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life9/20/200511/28/2006
InactiveAmeritas Variable Life Insurance Company300665Agent - Health4/1/19966/27/1997
InactiveAmeritas Variable Life Insurance Company300665Agent - Life4/1/19966/27/1997
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20016/30/2005
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization1/4/19903/1/2001
InactiveAthene Annuity & Life Assurance Company301798Agent - Health12/2/200510/25/2006
InactiveAthene Annuity & Life Assurance Company301798Agent - Life12/2/200510/25/2006
InactiveAthene Annuity & Life Assurance Company301798Agent - Variable Life and Variable Annuities12/2/200510/25/2006
InactiveAthene Annuity and Life Company301893Agent - Health9/18/19876/30/2005
InactiveAthene Annuity and Life Company301893Agent - Life9/18/19876/30/2005
InactiveCHA HMO, Inc.300662Agent - Health11/8/200112/15/2004
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization11/12/19975/19/1999
InactiveIllinois Mutual Life Insurance Company301479Agent - Health8/19/19991/27/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Life8/19/19991/27/2003
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/25/20006/30/2005
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities6/7/20016/30/2005
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life8/30/20006/30/2005
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities6/7/20016/30/2005
InactiveMetropolitan Life Insurance Company301948Agent - Health12/7/20006/30/2005
InactiveMetropolitan Life Insurance Company301948Agent - Life9/9/20046/30/2005
InactivePacific Life Insurance Company301848Agent - Life4/29/20026/30/2005
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities4/29/20026/30/2005
InactivePaul Revere Life Insurance Company300971Agent - Health12/2/19918/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life12/2/19918/24/2000
InactivePrincipal Life Insurance Company300129Agent - Health2/9/198811/30/2003
InactivePrincipal Life Insurance Company300129Agent - Life2/9/198811/30/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Health5/20/199912/11/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Life5/20/199912/11/2002
InactiveUNUM Life Insurance Company of America300817Agent - Health6/5/20006/30/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life6/5/20006/30/2005
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health9/20/19933/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life9/20/19933/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life3/8/20006/30/2005
InactiveArison Insurance Services, Inc.401001Agent - Health3/8/20006/30/2005

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