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	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	6/6/2025
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
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/1/2024	9/30/2025
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
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/29/2024	11/9/2025
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/29/2024	11/9/2025
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
Active	Pacific Life Insurance Company	301848	Agent - Health	2/5/2026
Active	Pacific Life Insurance Company	301848	Agent - Life	2/5/2026
Active	Symetra Life Insurance Company	301691	Agent - Health	2/2/2026
Active	Symetra Life Insurance Company	301691	Agent - Life	2/2/2026
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
Inactive	Gallagher Benefit Services Inc	525782	Agent - Health	3/27/2024	11/9/2025