DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Casey, Jason W	DOIID	655847	NAIC NPN	3478167

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/21/2007	7/31/2012
Inactive	Non Resident	Agent	Health	5/21/2007	7/31/2012
* 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	Fidelity Investments Life Insurance Company	300620	Agent - Health	11/11/2009	9/3/2010
Inactive	Fidelity Investments Life Insurance Company	300620	Agent - Life	11/11/2009	9/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Employer Ins Services Inc	653192	Agent - Life	11/11/2009	9/3/2010
Inactive	Fidelity Employer Ins Services Inc	653192	Agent - Health	11/11/2009	9/3/2010