DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Jessica Hancock	DOIID	745135	NAIC NPN	16117202

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	2/28/2011		3/31/2026
Active	Resident	Agent	Life	2/28/2011		3/31/2026
* 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	11/9/2011	12/5/2017
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/9/2011	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/9/2011	6/26/2013
Active	Delta Dental of Kentucky, Inc.	301166	Agent - Health	1/16/2018
Inactive	Dental Choice, Inc.	301702	Agent - Health	1/16/2018	3/12/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/9/2011	12/5/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/28/2011	12/5/2017
Active	Humana Health Plan, Inc.	300142	Agent - Life	2/28/2011
Inactive	Humana Insurance Company	301104	Agent - Health	3/8/2011	12/5/2017
Inactive	Humana Insurance Company	301104	Agent - Life	3/8/2011	12/5/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2011	12/5/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2011	12/5/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/9/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/9/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/8/2011	12/5/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/8/2011	12/5/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ancillary Choice LLC	1070423	Agent - Life	5/13/2020