DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jelinek, Jim E	DOIID	705513	NAIC NPN	251426

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/12/2009	8/31/2019
Inactive	Non Resident	Agent	Health	5/12/2009	8/31/2019
* 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	New York Life Insurance Company	300431	Agent - Health	5/19/2009	1/4/2019
Inactive	New York Life Insurance Company	300431	Agent - Life	5/19/2009	1/4/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lincoln Investment Planning, LLC	400826	Agent - Life	9/17/2010	1/4/2019
Inactive	Lincoln Investment Planning, LLC	400826	Agent - Health	9/17/2010	1/4/2019