DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Jason Michael	DOIID	546761	NAIC NPN	7224742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/9/2002	7/1/2004
Inactive	Resident	Agent	Limited Line Credit	2/17/2018	3/31/2020
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	2/21/2018	11/6/2018
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/28/2003	7/1/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	4/16/2002	12/26/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/9/2002	2/19/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Bank & Trust Company Inc.	513114	Agent - Limited Line Credit	2/22/2018	11/6/2018
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	7/1/2004