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DEPARTMENT OF INSURANCE
Affiliations
Name
Mullen, Jerry L
DOIID
567259
NAIC NPN
7650802
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Resident
Agent
Property
Inactive
Resident
Agent
Life
4/14/2003
2/1/2012
Inactive
Resident
Agent
Health
4/9/2003
2/1/2012
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
4/16/2009
8/24/2011
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
4/16/2009
8/24/2011
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
12/21/2006
9/30/2009
Inactive
Athene Annuity & Life Assurance Company of New York
300724
Agent - Life
3/29/2010
2/1/2012
Inactive
Athene Annuity and Life Company
301893
Agent - Life
9/25/2009
1/5/2011
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
4/16/2009
2/1/2012
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
1/11/2011
2/1/2012
Inactive
CompBenefits Insurance Company
301864
Agent - Health
10/13/2009
2/1/2012
Inactive
CompBenefits Insurance Company
301864
Agent - Life
10/13/2009
2/1/2012
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Health
4/15/2009
5/24/2010
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
6/21/2010
2/1/2012
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
4/15/2009
5/24/2010
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
11/5/2009
2/1/2012
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
11/5/2009
2/1/2012
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
10/13/2009
2/1/2012
Inactive
Humana Insurance Company
301104
Agent - Health
10/13/2009
2/1/2012
Inactive
Humana Insurance Company
301104
Agent - Life
10/13/2009
2/1/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
10/13/2009
2/1/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
10/13/2009
2/1/2012
Denied
Independent Mutual Fire Insurance Company
300851
Agent - Property
Inactive
Independent Order of Foresters
300743
Agent - Life
7/1/2009
2/1/2012
Inactive
John Alden Life Insurance Company
300573
Agent - Health
3/30/2006
10/13/2009
Inactive
John Alden Life Insurance Company
300573
Agent - Life
3/30/2006
10/13/2009
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/26/2010
2/1/2012
Inactive
Kanawha Insurance Company
300127
Agent - Life
1/26/2010
2/1/2012
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Health
4/16/2009
2/1/2012
Inactive
Pennsylvania Life Insurance Company
301321
Agent - Health
4/16/2009
2/1/2012
Inactive
SILAC Insurance Company
300535
Agent - Health
6/8/2009
12/8/2010
Inactive
SILAC Insurance Company
300535
Agent - Life
6/8/2009
12/8/2010
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
4/9/2003
4/2/2009
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
4/14/2003
4/2/2009
Inactive
United Teacher Associates Insurance Company
300747
Agent - Health
5/8/2009
12/7/2010
Inactive
United Teacher Associates Insurance Company
300747
Agent - Life
5/8/2009
12/7/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/1/2009
12/15/2011
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
5/1/2009
12/15/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Cornerstone Senior Services LLC
399590
Agent - Health
10/16/2009
10/19/2010
Inactive
Cornerstone Senior Services LLC
399590
Agent - Life
10/16/2009
10/19/2010
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