DEPARTMENT OF INSURANCE
Affiliations
NameMullen, Jerry LDOIID567259NAIC NPN7650802
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentProperty   
InactiveResidentAgentLife4/14/20032/1/2012 
InactiveResidentAgentHealth4/9/20032/1/2012 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health4/16/20098/24/2011
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/16/20098/24/2011
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life12/21/20069/30/2009
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life3/29/20102/1/2012
InactiveAthene Annuity and Life Company301893Agent - Life9/25/20091/5/2011
InactiveCitizens Security Life Insurance Company301257Agent - Life4/16/20092/1/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health1/11/20112/1/2012
InactiveCompBenefits Insurance Company301864Agent - Health10/13/20092/1/2012
InactiveCompBenefits Insurance Company301864Agent - Life10/13/20092/1/2012
InactiveCoventry Health and Life Insurance Company301771Agent - Health4/15/20095/24/2010
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20102/1/2012
InactiveFirst Health Life & Health Insurance Company301735Agent - Health4/15/20095/24/2010
InactiveGuarantee Trust Life Insurance Company301043Agent - Health11/5/20092/1/2012
InactiveGuarantee Trust Life Insurance Company301043Agent - Life11/5/20092/1/2012
InactiveHumana Health Plan, Inc.300142Agent - Health10/13/20092/1/2012
InactiveHumana Insurance Company301104Agent - Health10/13/20092/1/2012
InactiveHumana Insurance Company301104Agent - Life10/13/20092/1/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/13/20092/1/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/13/20092/1/2012
DeniedIndependent Mutual Fire Insurance Company300851Agent - Property  
InactiveIndependent Order of Foresters300743Agent - Life7/1/20092/1/2012
InactiveJohn Alden Life Insurance Company300573Agent - Health3/30/200610/13/2009
InactiveJohn Alden Life Insurance Company300573Agent - Life3/30/200610/13/2009
InactiveKanawha Insurance Company300127Agent - Health1/26/20102/1/2012
InactiveKanawha Insurance Company300127Agent - Life1/26/20102/1/2012
InactiveNassau Life Insurance Company of Kansas300667Agent - Health4/16/20092/1/2012
InactivePennsylvania Life Insurance Company301321Agent - Health4/16/20092/1/2012
InactiveSILAC Insurance Company300535Agent - Health6/8/200912/8/2010
InactiveSILAC Insurance Company300535Agent - Life6/8/200912/8/2010
InactiveTransamerica Premier Life Insurance Company300558Agent - Health4/9/20034/2/2009
InactiveTransamerica Premier Life Insurance Company300558Agent - Life4/14/20034/2/2009
InactiveUnited Teacher Associates Insurance Company300747Agent - Health5/8/200912/7/2010
InactiveUnited Teacher Associates Insurance Company300747Agent - Life5/8/200912/7/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/1/200912/15/2011
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/1/200912/15/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCornerstone Senior Services LLC399590Agent - Health10/16/200910/19/2010
InactiveCornerstone Senior Services LLC399590Agent - Life10/16/200910/19/2010

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