DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dossett, Jason W	DOIID	596985	NAIC NPN	8276253

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/1/2005	7/1/2006
Inactive	Resident	Agent	Life	11/19/2004	7/1/2006
Active	Resident	Independent Adjuster	Crop	11/20/2012		7/31/2026
* 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	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/16/2005	12/22/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/16/2005	12/22/2005
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	4/29/2005	7/15/2005
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	11/19/2004	7/15/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	4/29/2005	7/15/2005
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	4/15/2005	7/15/2005