PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameJasa, Adam DouglasDOIID725188NAIC NPN14892680
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth3/24/201012/31/2011 
InactiveNon ResidentAgentLife3/24/201012/31/2011 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health3/26/20103/7/2011
InactiveAmerican General Life Insurance Company301585Agent - Life3/26/20103/7/2011
InactiveAthene Annuity & Life Assurance Company301798Agent - Life4/5/20101/5/2011
InactiveBanner Life Insurance Company301696Agent - Life4/26/201010/25/2010
InactiveGlobe Life and Accident Insurance Company300639Agent - Health4/7/20108/23/2010
InactiveGlobe Life and Accident Insurance Company300639Agent - Life4/7/20108/23/2010
InactivePruco Life Insurance Company300954Agent - Health4/8/20108/26/2010
InactivePruco Life Insurance Company300954Agent - Life4/8/20108/26/2010
InactiveReliaStar Life Insurance Company301712Agent - Life4/7/20109/16/2010
InactiveTransamerica Life Insurance Company300571Agent - Health4/5/20109/21/2010
InactiveTransamerica Life Insurance Company300571Agent - Life4/5/20109/21/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/14/20109/1/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/14/20109/1/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSelectQuote Insurance Services533194Agent - Life5/13/20108/26/2010
InactiveSelectQuote Insurance Services533194Agent - Health5/13/20108/26/2010

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