DEPARTMENT OF INSURANCE

Affiliations

Name	Weis, Jack Lee	DOIID	572338	NAIC NPN	7737873

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	9/17/2004	8/1/2022
Inactive	Resident	Agent	Life	8/30/2004	8/1/2022
Inactive	Resident	Agent	Health	8/30/2004	8/1/2022
Inactive	Resident	Agent	Property	9/22/2004	8/1/2022
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	1/4/2008	8/24/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/4/2008	8/24/2011
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	6/5/2006	1/18/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/17/2003	5/10/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/17/2003	5/10/2004
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	6/27/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	6/27/2010
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	7/8/2008	9/30/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	5/28/2008	8/8/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/28/2008	8/8/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2006	8/1/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2006	8/1/2022
Inactive	Athene Annuity and Life Company	301893	Agent - Health	10/20/2008	2/24/2012
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/23/2008	2/27/2014
Inactive	Combined Insurance Company of America	301472	Agent - Health	4/5/2013	1/11/2022
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	6/27/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	6/27/2010
Inactive	Delaware Life Insurance Company	301256	Agent - Life	6/9/2006	10/23/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/23/2014	2/9/2018
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/3/2010	7/27/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/18/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	11/18/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	11/18/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/18/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/18/2007	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/3/2008	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/3/2008	9/8/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	6/27/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	6/27/2010
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	7/31/2003	1/17/2004
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	7/31/2003	1/17/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	6/27/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	6/27/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	6/27/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	6/27/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	6/27/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	6/27/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/19/2008	11/23/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/19/2008	7/17/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	6/27/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	6/27/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	6/27/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	6/27/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/21/2007	6/27/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/21/2007	6/27/2010
Inactive	United American Insurance Company	300910	Agent - Health	8/16/2019	3/2/2021
Inactive	United American Insurance Company	300910	Agent - Life	8/16/2019	3/2/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/19/2008	11/23/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/19/2008	6/7/2021
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	6/27/2010
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	6/27/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/1/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/1/2006	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	8/1/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	8/1/2022
Inactive	The Insurance Store Of Ohio Inc	669716	Agent - Casualty	12/21/2007	3/31/2009
Inactive	The Insurance Store Of Ohio Inc	669716	Agent - Property	12/21/2007	3/31/2009