DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pentell, JacQue Sue	DOIID	549136	NAIC NPN	2159660

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/14/2003	2/1/2024
Inactive	Non Resident	Agent	Health	7/14/2003	2/1/2024
* 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	All Savers Insurance Company	301940	Agent - Health	2/11/2015	2/1/2024
Inactive	All Savers Insurance Company	301940	Agent - Life	2/11/2015	2/1/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/25/2013	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/25/2013	11/2/2016
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	7/14/2003	2/18/2024
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	7/14/2003	2/18/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/14/2003	12/13/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/14/2003	12/13/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/1/2017	2/1/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/1/2017	2/1/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/4/2008	3/15/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/4/2008	3/15/2024
Inactive	Union Security Insurance Company	301844	Agent - Health	9/6/2011	4/27/2016
Inactive	Union Security Insurance Company	301844	Agent - Life	9/6/2011	4/27/2016
Inactive	United Life Insurance Company	664766	Agent - Health	8/7/2015	2/1/2024
Inactive	United Life Insurance Company	664766	Agent - Life	8/7/2015	2/1/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2017	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2017	3/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/25/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/25/2013	11/2/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Health	4/25/2016	2/5/2024
Inactive	Usi Insurance Services LLC	669260	Agent - Life	4/25/2016	2/5/2024