DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gentry, Jeffrey Ryan	DOIID	567651	NAIC NPN	522220

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/9/2003	11/30/2022
Inactive	Non Resident	Agent	Life	4/9/2003	11/30/2022
* 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	Banner Life Insurance Company	301696	Agent - Life	9/13/2012	12/5/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/1/2017	12/6/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/1/2017	12/6/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/28/2007	11/30/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/28/2007	11/30/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/28/2007	11/30/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/28/2007	11/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Insurance Services National, Inc	509421	Agent - Health
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Inactive	Usi Insurance Services LLC	669260	Agent - Health	11/28/2016	7/12/2022
Inactive	Usi Insurance Services LLC	669260	Agent - Life	11/28/2016	7/12/2022