DEPARTMENT OF INSURANCE

Affiliations

Name	Jokich, Samuel	DOIID	795788	NAIC NPN	15967945

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/24/2012	9/30/2015
Inactive	Non Resident	Agent	Health	10/24/2012	9/30/2015
* 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	1/2/2013	9/30/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/2/2013	9/30/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/2/2013	9/30/2015
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	11/2/2012	9/30/2015
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	11/2/2012	9/30/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/30/2013	6/6/2014
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/6/2012	12/4/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/30/2013	6/6/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/12/2013	9/30/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/25/2013	5/30/2014
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/25/2013	5/30/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/13/2014	2/18/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/13/2014	2/18/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/30/2013	6/6/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/30/2013	6/6/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/30/2013	6/6/2014
Inactive	Humana Insurance Company	301104	Agent - Life	9/30/2013	6/6/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/30/2013	6/6/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/30/2013	6/6/2014
Inactive	Independent Order of Foresters	300743	Agent - Life	9/20/2013	1/21/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/16/2013	6/6/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/16/2013	6/6/2014
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/23/2014	9/30/2015
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	5/3/2013	9/9/2015
Inactive	Time Insurance Company	300683	Agent - Health	11/20/2012	10/21/2014
Inactive	Time Insurance Company	300683	Agent - Life	11/20/2012	10/21/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/15/2013	1/5/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/15/2013	1/5/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AHB Sales LLC	787451	Agent - Life	2/13/2013	2/27/2014
Inactive	AHB Sales LLC	787451	Agent - Health	2/13/2013	2/27/2014
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	2/14/2013	2/27/2014
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	2/14/2013	2/27/2014