DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bird, Jeremy Robert	DOIID	580730	NAIC NPN	7905629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/18/2003		10/31/2026
Active	Non Resident	Agent	Health	11/18/2003		10/31/2026
* 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 - Life	10/20/2020	3/6/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/31/2004	4/17/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/31/2004	4/17/2013
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/1/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/27/2020	2/26/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/27/2020	2/26/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/28/2012	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/28/2012	9/3/2013
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/18/2015	10/3/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/2/2015	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/28/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/28/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/28/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/28/2012	9/3/2013
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/29/2024
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/29/2024
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/28/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/28/2012	9/3/2013
Inactive	Unified Life Insurance Company	543169	Agent - Health	8/30/2015	12/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Life	3/27/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Health	3/27/2024