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DEPARTMENT OF INSURANCE
Affiliations
Name
McConnell, Jerry Wayne
DOIID
385103
NAIC NPN
720880
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
3/2/1988
7/1/2008
Inactive
Resident
Agent
Life
4/28/1988
7/1/2008
Inactive
Resident
Agent
Health Maintenance Organization
8/26/1996
3/1/2001
* 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
AF&L Insurance Company
301582
Agent - Health
9/28/1998
12/1/2006
Inactive
Ability Insurance Company
301013
Agent - Health
3/29/1993
3/31/1997
Inactive
Ability Insurance Company
301013
Agent - Life
3/29/1993
3/31/1997
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
2/15/2001
7/1/2008
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
2/15/2001
7/1/2008
Inactive
American General Life Insurance Company
301585
Agent - Health
9/3/2002
11/21/2006
Inactive
American General Life Insurance Company
301585
Agent - Life
7/30/2001
11/21/2006
Inactive
American National Insurance Company
301861
Agent - Life
7/12/1994
7/1/2008
Inactive
American Network Insurance Company
301156
Agent - Health
5/1/2000
8/29/2005
Inactive
Anthem Life Insurance Company
301209
Agent - Health
6/28/1995
7/1/2008
Inactive
Anthem Life Insurance Company
301209
Agent - Life
6/28/1995
7/1/2008
Inactive
Bankers United Life Assurance Company
300296
Agent - Health
7/14/1992
9/15/1998
Inactive
Bankers United Life Assurance Company
300296
Agent - Life
7/14/1992
9/15/1998
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
9/23/1991
4/3/2003
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
9/23/1991
4/3/2003
Inactive
CHA HMO, Inc.
300662
Agent - Health Maintenance Organization
8/26/1996
1/4/1999
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
6/22/1998
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
6/22/1998
4/1/2007
Inactive
Clarendon National Insurance Company
300843
Agent - Health
5/20/2002
10/21/2005
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
6/14/2002
4/26/2004
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
7/25/1995
4/27/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
7/25/1995
4/27/1998
Inactive
Continental Casualty Company
301019
Agent - Health
3/2/1988
11/29/2004
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/31/2003
7/1/2008
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Health
3/13/1997
7/1/2008
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
3/13/1997
3/24/2006
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
6/19/1998
7/1/2008
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
6/19/1998
7/1/2008
Inactive
First National Life Insurance Company
300833
Agent - Health
3/15/1993
2/14/1997
Inactive
First National Life Insurance Company
300833
Agent - Life
3/15/1993
2/14/1997
Inactive
Humana Insurance Company
301104
Agent - Health
2/8/1991
7/1/2008
Inactive
Humana Insurance Company
301104
Agent - Life
2/8/1991
7/1/2008
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
10/10/1994
11/1/2005
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
10/10/1994
11/1/2005
Inactive
Inter-State Assurance Company
301556
Agent - Life
12/22/1992
3/21/2002
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
7/15/2002
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
7/15/2002
6/7/2008
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/10/2008
7/1/2008
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/10/2008
7/1/2008
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Health
6/2/2003
12/31/2003
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Life
6/2/2003
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Life
12/5/2003
12/31/2003
Inactive
LifeSecure Insurance Company
301629
Agent - Health
2/13/1996
3/31/1997
Inactive
LifeSecure Insurance Company
301629
Agent - Life
2/13/1996
3/31/1997
Inactive
LifeUSA Insurance Company
300386
Agent - Health
11/8/1989
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
11/8/1989
8/2/2002
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
10/3/2003
12/19/2005
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
10/3/2003
12/19/2005
Inactive
MedAmerica Insurance Company
301568
Agent - Health
10/2/2003
7/1/2008
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
4/6/1995
7/1/2008
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
4/6/1995
7/1/2008
Inactive
Midland National Life Insurance Company
300923
Agent - Life
4/26/2004
3/9/2005
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/11/1996
5/10/2002
Inactive
National Foundation Life Insurance Company
300084
Agent - Health
3/18/1996
3/29/1999
Inactive
National Foundation Life Insurance Company
300084
Agent - Life
3/18/1996
3/29/1999
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
7/22/2003
1/10/2007
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
7/22/2003
1/10/2007
Inactive
National States Insurance Company
300579
Agent - Health
3/24/1994
12/21/1998
Inactive
National States Insurance Company
300579
Agent - Life
3/24/1994
12/21/1998
Inactive
National Western Life Insurance Company
301515
Agent - Health
10/11/1994
3/31/1997
Inactive
National Western Life Insurance Company
301515
Agent - Life
10/11/1994
3/31/1997
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
6/20/2002
7/1/2008
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
8/6/2001
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
8/6/2001
3/31/2003
Inactive
Order of United Commercial Travelers of America
301723
Agent - Life
4/7/1995
3/11/2002
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
8/2/2004
7/9/2007
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
8/2/2004
7/9/2007
Inactive
Physicians Life Insurance Company
300924
Agent - Health
8/2/2004
12/11/2006
Inactive
Physicians Life Insurance Company
300924
Agent - Life
8/2/2004
12/11/2006
Inactive
Physicians Mutual Insurance Company
301084
Agent - Health
8/2/2004
12/13/2006
Inactive
Pioneer Life Insurance Company
300110
Agent - Health
4/28/1988
10/15/1996
Inactive
Pioneer Life Insurance Company
300110
Agent - Life
4/28/1988
10/15/1996
Inactive
Principal Life Insurance Company
300129
Agent - Health
7/6/1999
7/1/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
7/6/1999
7/1/2008
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
7/1/2008
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
7/1/2008
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
1/15/2003
9/16/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
1/15/2003
9/16/2004
Inactive
SILAC Insurance Company
300535
Agent - Health
7/13/2001
7/1/2008
Inactive
SILAC Insurance Company
300535
Agent - Life
7/13/2001
7/1/2008
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
8/28/2006
7/1/2008
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
8/28/2006
10/18/2007
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
7/26/1999
12/6/2007
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Life
7/26/1999
12/6/2007
Inactive
Time Insurance Company
300683
Agent - Health
11/9/1998
1/28/2005
Inactive
Time Insurance Company
300683
Agent - Life
11/9/1998
1/28/2005
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
11/4/1988
10/8/2001
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
11/4/1988
10/8/2001
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
1/19/2001
3/8/2005
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
1/19/2001
3/8/2005
Inactive
Trustmark Insurance Company
300317
Agent - Health
6/19/1996
12/31/1998
Inactive
Trustmark Insurance Company
300317
Agent - Life
6/19/1996
12/31/1998
Inactive
USG Annuity & Life Company
300457
Agent - Life
12/3/1993
10/18/2002
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
5/27/1998
11/21/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
5/27/1998
11/21/2005
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
8/9/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
8/9/1995
3/31/1997
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/1/2001
11/21/2005
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
5/27/1998
3/1/2001
Inactive
Washington National Insurance Company
300587
Agent - Health
12/17/1996
3/31/1997
Inactive
Washington National Insurance Company
300587
Agent - Life
12/17/1996
3/31/1997
Inactive
Wilco Life Insurance Company
300122
Agent - Health
8/30/1988
3/31/1997
Inactive
Wilco Life Insurance Company
300122
Agent - Life
8/30/1988
3/31/1997
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
McConnell Insurance Agency Inc.
400140
Agent - Life
1/26/1993
7/1/2008
Inactive
McConnell Insurance Agency Inc.
400140
Agent - Health
1/26/1993
7/1/2008
Inactive
Risk and Technology Advisors Inc.
580500
Agent - Life
11/10/2003
7/1/2008
Inactive
Risk and Technology Advisors Inc.
580500
Agent - Health
11/10/2003
7/1/2008
Inactive
West Kentucky Group Benefits
401049
Agent - Life
12/28/1998
2/24/2003
Inactive
West Kentucky Group Benefits
401049
Agent - Health
12/28/1998
2/24/2003
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