DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Maxwell, Jason William	DOIID	686714	NAIC NPN	9142336

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/11/2008	3/31/2011
Inactive	Non Resident	Agent	Health	8/11/2008	3/31/2011
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	1/5/2009	2/10/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/5/2009	2/10/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/5/2009	2/10/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/24/2009	3/31/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/24/2009	3/31/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/16/2008	4/26/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/16/2008	4/26/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/16/2008	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/16/2008	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/16/2008	9/9/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/16/2008	9/9/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/16/2008	9/9/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	10/7/2008	1/16/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/19/2008	3/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/19/2008	3/31/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/19/2008	3/31/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/19/2008	3/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	9/19/2008	1/29/2009
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	9/19/2008	1/29/2009