PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameWillis, Jeremy DwanDOIID389349NAIC NPN7208635
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife1/29/2014 12/31/2025
ActiveResidentAgentCasualty4/29/2014 12/31/2025
ActiveResidentAgentHealth4/30/2014 12/31/2025
ActiveResidentAgentProperty4/29/2014 12/31/2025
* 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
ActiveAetna Health and Life Insurance Company300523Agent - Health11/30/2018 
InactiveAmerican Continental Insurance Company643130Agent - Life11/30/20188/11/2021
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20195/27/2022
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20195/27/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/29/20185/2/2019
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/29/20185/2/2019
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty7/29/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property7/29/2019 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty9/18/201411/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property9/18/201411/14/2021
InactiveAmerican National General Insurance Company301944Agent - Casualty6/2/20146/2/2015
InactiveAmerican National General Insurance Company301944Agent - Property6/2/20146/2/2015
InactiveAmerican National Insurance Company301861Agent - Life5/27/20146/2/2015
InactiveAmerican National Property and Casualty Company300392Agent - Casualty6/2/20146/2/2015
InactiveAmerican National Property and Casualty Company300392Agent - Property6/2/20146/2/2015
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty9/18/201411/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property9/18/201411/14/2021
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life1/12/201810/1/2019
InactiveAmeritas Life Insurance Corporation300126Agent - Health11/7/202211/13/2023
InactiveAmeritas Life Insurance Corporation300126Agent - Life11/7/202211/13/2023
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/8/201712/16/2024
InactiveAnthem Life Insurance Company301209Agent - Health7/8/201712/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life7/8/201712/16/2024
ActiveBanner Life Insurance Company301696Agent - Life4/25/2023 
InactiveBristol West Insurance Company301655Agent - Casualty11/14/201812/20/2024
InactiveBristol West Insurance Company301655Agent - Property11/14/201812/20/2024
InactiveColonial Life and Accident Insurance Company300846Agent - Health4/3/20192/10/2021
InactiveColonial Life and Accident Insurance Company300846Agent - Life4/3/20192/10/2021
InactiveColumbian Life Insurance Company300810Agent - Life7/6/201710/14/2022
InactiveCompBenefits Dental, Inc.591692Agent - Health12/22/20158/11/2016
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health11/30/2018 
InactiveDental Concern Inc. (The)301641Agent - Health12/22/20158/11/2016
InactiveEncompass Indemnity Company546376Agent - Casualty3/1/201810/3/2024
InactiveEncompass Indemnity Company546376Agent - Property3/1/201810/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty3/1/201812/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property3/1/201812/13/2018
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty2/5/2018 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property2/5/2018 
InactiveGolden Rule Insurance Company301943Agent - Health11/12/201812/13/2020
InactiveGolden Rule Insurance Company301943Agent - Life11/12/201812/15/2020
ActiveGrange Indemnity Insurance Company300793Agent - Casualty2/2/2018 
ActiveGrange Indemnity Insurance Company300793Agent - Property2/2/2018 
ActiveGrange Insurance Company300234Agent - Casualty2/2/2018 
ActiveGrange Insurance Company300234Agent - Property2/2/2018 
InactiveGrange Life Insurance Company300128Agent - Health4/16/20183/31/2021
InactiveGrange Life Insurance Company300128Agent - Life4/16/20183/31/2021
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty2/2/2018 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property2/2/2018 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/17/201412/8/2015
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/17/201412/8/2015
InactiveHumana Health Plan, Inc.300142Agent - Health12/22/20158/11/2016
InactiveHumana Insurance Company301104Agent - Health10/17/20148/11/2016
InactiveHumana Insurance Company301104Agent - Life10/17/20148/11/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/17/201412/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/17/201412/8/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health10/17/201412/8/2015
InactiveIndependent Order of Foresters300743Agent - Life2/18/201412/29/2021
ActiveIntegon Indemnity Corporation300674Agent - Casualty7/22/2022 
ActiveIntegon Indemnity Corporation300674Agent - Property7/22/2022 
InactiveKanawha Insurance Company300127Agent - Health10/17/201411/3/2015
InactiveKanawha Insurance Company300127Agent - Life10/17/201411/3/2015
ActiveLiberty Bankers Life Insurance Company542461Agent - Life8/22/2022 
ActiveMilbank Insurance Company925185Agent - Casualty7/14/2020 
ActiveMilbank Insurance Company925185Agent - Property7/14/2020 
InactiveModern Woodmen of America301213Agent - Life7/16/20184/10/2019
InactiveOhio Casualty Insurance Company301492Agent - Casualty2/8/20185/27/2022
InactiveOhio Casualty Insurance Company301492Agent - Property2/8/20185/27/2022
InactivePhysicians Life Insurance Company300924Agent - Health8/17/20232/1/2024
InactivePhysicians Life Insurance Company300924Agent - Life8/17/20232/1/2024
InactivePhysicians Mutual Insurance Company301084Agent - Health8/17/20232/1/2024
InactiveReserve National Insurance Company301073Agent - Life2/11/20148/20/2014
ActiveRoot Insurance Company964834Agent - Casualty2/12/2025 
ActiveRoot Insurance Company964834Agent - Property2/12/2025 
InactiveSAFECO Insurance Company of America300159Agent - Casualty6/4/20153/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property6/4/20153/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/4/20155/27/2022
InactiveSAFECO Insurance Company of Illinois301350Agent - Property6/4/20155/27/2022
InactiveSagicor Life Insurance Company300459Agent - Life3/21/20196/2/2020
InactiveSelective Insurance Company of America500018Agent - Casualty3/8/201812/22/2020
InactiveSelective Insurance Company of America500018Agent - Property3/8/201812/22/2020
InactiveSelective Insurance Company of South Carolina500012Agent - Casualty3/8/201812/22/2020
InactiveSelective Insurance Company of South Carolina500012Agent - Property3/8/201812/22/2020
InactiveSelective Insurance Company of the Southeast300381Agent - Casualty3/8/201812/22/2020
InactiveSelective Insurance Company of the Southeast300381Agent - Property3/8/201812/22/2020
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty3/6/2020 
ActiveState Automobile Mutual Insurance Company301824Agent - Property3/6/2020 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/24/2022 
InactiveTime Insurance Company300683Agent - Health9/15/20149/25/2016
InactiveTime Insurance Company300683Agent - Life9/15/20149/25/2016
InactiveTransamerica Life Insurance Company300571Agent - Health1/8/20182/11/2019
InactiveTransamerica Life Insurance Company300571Agent - Life1/8/20182/11/2019
InactiveTransamerica Premier Life Insurance Company300558Agent - Health8/2/201611/13/2017
InactiveTransamerica Premier Life Insurance Company300558Agent - Life2/5/20143/23/2016
ActiveTrexis Insurance Corporation599902Agent - Casualty5/9/2019 
ActiveTrexis One Insurance Corporation684197Agent - Casualty5/9/2019 
ActiveTrustgard Insurance Company300104Agent - Casualty2/2/2018 
ActiveTrustgard Insurance Company300104Agent - Property2/2/2018 
InactiveUnited Financial Casualty Company301886Agent - Casualty9/22/20147/9/2015
InactiveUnited Financial Casualty Company301886Agent - Property9/22/20147/9/2015
InactiveUnited States Fire Insurance Company582240Agent - Health8/19/202212/27/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/7/202011/23/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/7/202011/23/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/24/20183/1/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/24/20183/1/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/24/20183/1/2024
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/24/20183/1/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty2/16/201810/23/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property2/16/201810/23/2024
InactiveUtica Mutual Insurance Company301933Agent - Casualty1/30/201811/21/2018
InactiveUtica Mutual Insurance Company301933Agent - Property1/30/201811/21/2018
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/27/20159/14/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property5/27/20159/14/2017
ActiveWest Bend Insurance Company672974Agent - Casualty1/26/2018 
ActiveWest Bend Insurance Company672974Agent - Property1/26/2018 
DeniedWoodmen of the World Life Insurance Society301446Agent - Health  
InactiveWoodmen of the World Life Insurance Society301446Agent - Life6/7/20065/30/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health12/11/2018 
InactiveDesignated Agent Company Inc.681257Agent - Life7/10/20172/11/2025
InactiveDesignated Agent Company Inc.681257Agent - Health7/10/20172/11/2025
ActiveFirefly Agency LLC663796Agent - Life1/26/2018 
ActiveFirefly Agency LLC663796Agent - Health1/26/2018 
ActiveFirefly Agency LLC663796Agent - Property1/26/2018 
ActiveFirefly Agency LLC663796Agent - Casualty1/26/2018 
ActiveMWAGIA, Inc549166Agent - Life11/29/2018 
ActiveMWAGIA, Inc549166Agent - Health11/29/2018 
InactiveThe Willis Agency878064Agent - Life5/14/20153/31/2021
InactiveThe Willis Agency878064Agent - Health5/14/20153/31/2021
InactiveThe Willis Agency878064Agent - Property5/14/20153/31/2021
InactiveThe Willis Agency878064Agent - Casualty5/14/20153/31/2021

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