DEPARTMENT OF INSURANCE

Affiliations

Name	Hagen, Jessica M	DOIID	709077	NAIC NPN	10350340

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/9/2009	1/31/2016
Inactive	Non Resident	Agent	Life	7/9/2009	1/31/2016
* 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	American Continental Insurance Company	643130	Agent - Health	2/19/2013	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	2/19/2013	11/11/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/22/2010	8/17/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/22/2010	8/17/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/22/2010	1/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/22/2010	1/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/17/2012	5/1/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/17/2012	5/1/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/10/2012	1/31/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/10/2012	1/31/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/17/2012	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/16/2012	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	7/16/2012	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/17/2012	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/17/2012	5/1/2014
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/4/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/29/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/29/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/17/2012	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/17/2012	5/1/2014
Inactive	Time Insurance Company	300683	Agent - Health	7/6/2012	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	7/6/2012	12/20/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/13/2012	8/27/2014
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	1/31/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	1/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/13/2012	8/27/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/17/2012	1/31/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/17/2012	1/31/2016