DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Jennifer Lee	DOIID	661113	NAIC NPN	7371776

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/3/2007	12/3/2014
Inactive	Non Resident	Agent	Life	8/3/2007	12/3/2014
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/28/2011	12/3/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/28/2011	12/3/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/8/2013	12/3/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/8/2013	12/3/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/3/2008	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/3/2008	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/3/2008	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/3/2008	12/15/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIZ Benefits & Ins Services Inc	514101	Agent - Life	10/28/2011	1/20/2014
Inactive	CBIZ Benefits & Ins Services Inc	514101	Agent - Health	10/28/2011	1/20/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/28/2011	12/3/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/28/2011	12/3/2014