DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Jamen	DOIID	715450	NAIC NPN	15039672

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/9/2009	6/30/2012
Inactive	Non Resident	Agent	Life	10/9/2009	6/30/2012
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	6/15/2010	1/4/2011
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	1/9/2010	6/30/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	9/28/2010	6/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/15/2010	1/4/2011
Inactive	Humana Insurance Company	301104	Agent - Health	6/15/2010	1/4/2011
Inactive	Humana Insurance Company	301104	Agent - Life	6/15/2010	1/4/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/15/2010	1/4/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/15/2010	1/4/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/16/2009	8/12/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/19/2009	9/20/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/19/2009	9/20/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/27/2009	6/30/2012
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/27/2009	6/30/2012