DEPARTMENT OF INSURANCE

Affiliations

Name	Loze, Jason William	DOIID	388891	NAIC NPN	1889719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	11/7/2012		7/31/2024
Active	Resident	Agent	Life	11/7/2012		7/31/2024
Active	Resident	Agent	Variable Life and Variable Annuities	11/7/2012		7/31/2024
Active	Resident	Agent	Health	11/7/2012		7/31/2024
Active	Resident	Agent	Casualty	11/7/2012		7/31/2024
Inactive	Resident	Agent	General Lines	12/30/1991	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	3/21/1997	3/1/2001
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	8/1/2012
Inactive	AIG Assurance Company	300897	Agent - General Lines	7/3/2000	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	8/1/2012
Inactive	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	7/28/1999	12/1/2000
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/15/1997	9/27/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/15/1997	9/27/2010
Inactive	All American Life Insurance Company	300702	Agent - Health	1/5/2000	5/24/2002
Inactive	All American Life Insurance Company	300702	Agent - Life	1/5/2000	5/24/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/4/2000	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/4/2000	11/21/2007
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/17/2000	8/1/2012
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/17/2000	8/1/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/16/2013	6/10/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/16/2013	6/10/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	7/15/2002	8/1/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	7/15/2002	8/1/2012
Active	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	12/16/2019
Inactive	American Home Assurance Company	300246	Agent - Casualty	1/24/2006	8/1/2012
Inactive	American Home Assurance Company	300246	Agent - Property	1/24/2006	8/1/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/17/2000	8/1/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/17/2000	8/1/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/3/2008	8/1/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/3/2008	8/1/2012
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/3/2008	8/1/2012
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/3/2008	8/1/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	12/12/2006
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	2/26/1999	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	12/12/2006
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/19/2012	8/1/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/19/2012	8/1/2012
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	8/1/2012
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	5/17/1999	3/1/2001
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	12/12/2006
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	2/26/1999	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	12/12/2006
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/20/1994	2/21/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	9/20/1994	2/21/2001
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	1/24/2006	8/1/2012
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	1/24/2006	8/1/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/18/2013	12/5/2014
Inactive	Conseco Health Insurance Company	301725	Agent - Health	2/15/2001	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	2/15/2001	8/7/2006
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	Conseco Insurance Company	301202	Agent - Variable Life and Variable Annuities	11/30/2004	1/23/2007
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/1/2009	2/3/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/18/2013	12/5/2014
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/30/2000	12/15/2003
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/18/2004	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/18/2004	8/22/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	12/30/1991	3/8/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/2/1999	3/24/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/18/2004	8/1/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/18/2004	8/1/2012
Active	Forethought Life Insurance Company	301407	Agent - Health	1/3/2023
Active	Forethought Life Insurance Company	301407	Agent - Life	1/3/2023
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/12/2008	8/1/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/12/2008	8/1/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/22/1996	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/22/1996	3/31/1997
Inactive	Grange Insurance Company	300234	Agent - General Lines	4/17/1995	8/20/1999
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/18/1995	8/20/1999
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/18/1995	8/20/1999
Inactive	Granite State Insurance Company	300818	Agent - Casualty	8/15/2000	8/1/2012
Inactive	Granite State Insurance Company	300818	Agent - General Lines	7/3/2000	8/15/2000
Inactive	Granite State Insurance Company	300818	Agent - Property	8/15/2000	8/1/2012
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	9/19/1995	1/12/1998
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	7/2/2007
Inactive	Great American Insurance Company	301586	Agent - General Lines	6/5/1997	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	7/2/2007
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	9/19/1995	3/31/1996
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	9/19/1995	1/12/1998
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/6/2004	12/27/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/6/2004	12/27/2007
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	4/29/2003	4/19/2005
Inactive	Hallmark National Insurance Company	300494	Agent - Property	4/29/2003	4/19/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/18/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/8/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	7/24/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/8/1998	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/18/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/18/2013	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/3/2006	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/3/2006	2/24/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007	8/1/2012
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	7/3/2000	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/16/2007	8/1/2012
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/30/2000	12/15/2003
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	1/24/2006	8/1/2012
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	1/24/2006	8/1/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/25/1995	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/25/1995	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/18/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/18/2013	12/5/2014
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	8/29/2003
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	8/19/1998	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	8/29/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/4/2000	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/4/2000	8/2/2002
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/2/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/2/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	9/2/2021
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	4/11/2003	11/18/2004
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	4/11/2003	11/18/2004
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	2/3/1999	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	8/15/2000	3/7/2005
Inactive	Meridian Security Insurance Company	300423	Agent - General Lines	2/5/1999	8/15/2000
Inactive	Meridian Security Insurance Company	300423	Agent - Property	8/15/2000	3/7/2005
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	9/24/1998	2/6/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/31/2013	11/14/2014
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	1/25/1993	3/29/1999
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Health	8/30/1988	3/31/1997
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Life	11/4/1998	2/6/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/30/1988	2/6/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/30/1988	2/6/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	3/31/2001	2/6/2004
Inactive	Metropolitan Tower Life Insurance Company	300322	Agent - Health	7/18/1989	3/31/1997
Inactive	Metropolitan Tower Life Insurance Company	300322	Agent - Life	11/4/1998	2/6/2004
Inactive	National States Insurance Company	300579	Agent - Health	11/3/1999	9/4/2001
Inactive	National States Insurance Company	300579	Agent - Life	11/3/1999	9/4/2001
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/24/2006	8/1/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/24/2006	8/1/2012
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	2/4/2000	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	2/4/2000	3/31/2003
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	1/20/2005	7/17/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	1/20/2005	7/17/2012
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	7/15/1996	3/31/1998
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/14/2007	1/10/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/14/2007	1/10/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/25/2004	7/6/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/25/2004	7/6/2006
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	7/6/2006
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	8/12/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	7/6/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	7/6/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	8/12/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	7/6/2006
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	8/12/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	12/28/2005
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/4/2016	12/22/2016
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	3/7/2001	9/17/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	3/7/2001	9/17/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	12/12/2006
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	2/26/1999	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	12/12/2006
Inactive	Standard Insurance Company	300185	Agent - Health	5/1/2000	8/1/2012
Inactive	Standard Insurance Company	300185	Agent - Life	5/1/2000	8/1/2012
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	4/29/2003	4/19/2005
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	4/29/2003	4/19/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	4/19/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	4/19/2005
Inactive	Texas Life Insurance Company	300345	Agent - Life	6/25/1997	2/19/1999
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	12/12/2006
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	2/26/1999	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	12/12/2006
Inactive	Time Insurance Company	300683	Agent - Health	2/15/2001	12/8/2005
Inactive	Time Insurance Company	300683	Agent - Life	2/15/2001	12/8/2005
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	12/12/2006
Inactive	TravCo Insurance Company	301828	Agent - General Lines	2/26/1999	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	12/12/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	12/12/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	12/12/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	12/12/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	2/26/1999	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	12/12/2006
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	12/12/2006
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	12/12/2006
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/22/2012
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	7/15/2003	8/1/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/18/1997	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/18/1997	11/21/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	11/21/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	3/21/1997	3/1/2001
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Health	6/19/2000	6/4/2007
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Life	6/19/2000	6/4/2007
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/5/2003	7/26/2007
Inactive	Wilco Life Insurance Company	300122	Agent - Life	12/21/1999	6/22/2001
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/30/2000	12/15/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	11/18/1996	12/10/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	11/18/1996	12/10/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	4/12/2002	8/1/2012
Inactive	Insurance Solutions of the Midwest, Inc.	592519	Agent - Life	12/2/2004	8/1/2012
Inactive	Insurance Solutions of the Midwest, Inc.	592519	Agent - Property	8/18/2004	8/1/2012
Inactive	Insurance Solutions of the Midwest, Inc.	592519	Agent - Casualty	8/18/2004	8/1/2012
Inactive	Medlink Inc	400721	Agent - Life	11/23/1998	8/1/2012
Inactive	Medlink Inc	400721	Agent - Health	11/23/1998	8/1/2012