DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cappel, Jerry Jay	DOIID	539417	NAIC NPN	7219859

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/12/2002	7/1/2006
Inactive	Resident	Agent	Health	2/12/2002	7/1/2006
* 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	Humana Insurance Company	301104	Agent - Health	2/12/2002	7/1/2006
Inactive	Humana Insurance Company	301104	Agent - Life	2/12/2002	7/1/2006
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/12/2002	7/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	2/24/2003	7/1/2006
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/24/2003	7/1/2006