DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kohout, Gerald	DOIID	591366	NAIC NPN	921205

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/3/2006	2/28/2015
Inactive	Non Resident	Agent	Life	7/29/2004	2/28/2015
Inactive	Non Resident	Agent	Health	7/29/2004	2/28/2015
* 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	Jackson National Life Insurance Company	300486	Agent - Health	12/31/2012	2/28/2015
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	12/31/2012	2/28/2015
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	8/2/2004	9/30/2007
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/30/2007	12/31/2012
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	8/2/2004	9/30/2007
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/30/2007	12/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Reassure America Life Insurance Company	627078	Administrator - Not Applicable	7/5/2006	3/31/2008
Inactive	Reassure America Life Insurance Company	784021	Administrator - Not Applicable	6/15/2012	3/3/2014
Inactive	Swiss Re Life & Health America Inc	627077	Administrator - Not Applicable	6/15/2012	5/10/2013