DEPARTMENT OF INSURANCE

Affiliations

Name	Jaworski, James J	DOIID	779406	NAIC NPN	10658337

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/14/2012	6/30/2027
Active	Non Resident	Agent	Life	4/21/2012	6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025	04/24/2025	04/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/24/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/24/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	5/24/2021
Active	Aetna Life Insurance Company	301140	Agent - Life	5/24/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/6/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/9/2012	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/9/2012	4/15/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	2/11/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/26/2013	9/3/2013
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2013	9/3/2013
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	8/19/2016	6/20/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/19/2016	6/20/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/6/2013	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	2/26/2013	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/26/2013	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/26/2013	9/3/2013
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/30/2020	1/23/2025
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	6/10/2014	12/4/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	6/10/2014	12/4/2020
Inactive	Medico Insurance Company	301559	Agent - Health	4/1/2013	9/4/2014
Inactive	Medico Insurance Company	301559	Agent - Life	4/1/2013	9/4/2014
Active	SilverScript Insurance Company	663526	Agent - Health	4/15/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/23/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	5/9/2012
Active	Designated Agent Company Inc.	681257	Agent - Life	5/9/2012