DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Embry, Jonathan Dereke	DOIID	544145	NAIC NPN	7224012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health	10/5/2006	10/31/2007
Inactive	Resident	Agent	Life	10/5/2006	10/31/2007
* 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 Health Plan, Inc.	300142	Agent - Health	12/11/2006	10/31/2007
Inactive	Humana Insurance Company	301104	Agent - Health	12/11/2006	10/31/2007
Inactive	Humana Insurance Company	301104	Agent - Life	12/11/2006	10/31/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/11/2006	10/31/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/11/2006	10/31/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	4/20/2005	7/1/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	4/20/2005	7/1/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/20/2005	7/1/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/20/2005	7/1/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/5/2006	10/31/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/5/2006	10/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health	8/4/2005	7/1/2006
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Life	8/4/2005	7/1/2006