DEPARTMENT OF INSURANCE

Affiliations

Name	Jeffries, Gerrie R	DOIID	719768	NAIC NPN	15471645

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/8/2015	8/1/2018
Inactive	Resident	Agent	Life	10/2/2015	8/1/2018
* 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	10/6/2015	8/1/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/6/2015	8/1/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/6/2015	8/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/21/2015	9/26/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/21/2015	9/26/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/22/2015	5/7/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/15/2015	9/9/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/15/2015	9/9/2016
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	12/29/2009	7/2/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/6/2015	8/1/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/3/2015	1/4/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/3/2015	1/4/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/18/2015	9/9/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/18/2015	9/9/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/18/2015	9/9/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/15/2015	9/9/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/15/2015	9/9/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/18/2015	9/9/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/30/2015	9/9/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/18/2015	9/9/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/29/2015	1/16/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2015	9/12/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/3/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/3/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/3/2015	8/1/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/13/2015	9/12/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	9/12/2016

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 - Health	10/21/2015	8/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/21/2015	8/1/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/15/2015	10/26/2016
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	10/15/2015	10/26/2016