DEPARTMENT OF INSURANCE

Affiliations

Name	Jolly, Jeffrey Lynn	DOIID	717370	NAIC NPN	15221020

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	7/22/2013	7/1/2016
Inactive	Resident	Agent	Health	11/10/2009	7/1/2016
Inactive	Resident	Agent	Life	11/10/2009	7/1/2016
Inactive	Resident	Agent	Casualty	7/22/2013	7/1/2016
* 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	Allstate Indemnity Company	300778	Agent - Casualty	8/12/2013	1/10/2015
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/12/2013	1/10/2015
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/12/2013	1/10/2015
Inactive	Allstate Insurance Company	300773	Agent - Property	8/12/2013	1/10/2015
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2013	1/10/2015
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2013	1/10/2015
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/19/2014	1/10/2015
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/19/2014	1/10/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/31/2013	10/28/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/31/2013	10/28/2015
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/20/2010	9/29/2011
Inactive	Combined Insurance Company of America	301472	Agent - Life	9/20/2010	9/29/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/23/2011	7/30/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/23/2011	7/30/2016
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	9/12/2013	1/10/2015
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	9/12/2013	1/10/2015
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	11/17/2009	10/5/2010
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	11/17/2009	10/5/2010
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/4/2011	3/31/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/4/2011	7/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Buck Global, LLC	594458	Agent - Life	11/23/2011	2/6/2014
Inactive	Buck Global, LLC	594458	Agent - Health	11/4/2011	2/6/2014
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	11/19/2009	10/5/2010
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	11/19/2009	10/5/2010