DEPARTMENT OF INSURANCE
Affiliations
NameWiley, Jerry BrentDOIID381802NAIC NPN7205373
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife5/24/19953/31/1997 
InactiveResidentAgentHealth5/24/19953/31/1997 
* 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
InactiveMutual of Omaha Insurance Company301012Agent - Health5/24/19957/30/1996
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/24/19957/30/1996
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/24/19957/30/1996
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health11/6/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life11/6/19953/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997

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