DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gulledge, Jeremy Michael	DOIID	721869	NAIC NPN	9559255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/27/2010	5/31/2016
Inactive	Non Resident	Agent	Life	1/27/2010	5/31/2016
* 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 General Life Insurance Company	301585	Agent - Health	10/16/2012	10/23/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	10/16/2012	10/23/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/4/2010	6/7/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/5/2010	10/21/2014
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	2/19/2010	9/8/2014
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	2/19/2010	9/8/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/5/2010	9/17/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/5/2010	9/17/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/4/2010	9/23/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/4/2010	10/27/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/4/2010	10/27/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Health	2/12/2010	9/12/2014
Inactive	SelectQuote Insurance Services	533194	Agent - Life	2/12/2010	9/12/2014