DEPARTMENT OF INSURANCE

Affiliations

Name	Jaxtheimer, Evan	DOIID	796740	NAIC NPN	10768568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/5/2012	9/28/2020
Inactive	Non Resident	Agent	Health	11/5/2012	9/28/2020
* 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	ACE American Insurance Company	300625	Agent - Health	6/5/2017	11/13/2019
Inactive	AXA XL Insurance Company Americas	300979	Agent - Health	7/8/2015	8/19/2015
Inactive	AXIS Insurance Company	301290	Agent - Health	5/29/2018	10/2/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/10/2014	9/24/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/10/2014	9/24/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/10/2014	9/24/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/5/2019	7/23/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	2/1/2016	9/28/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	2/1/2016	9/28/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/23/2014	3/23/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/11/2016	5/31/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/10/2014	9/24/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	11/10/2014	9/24/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/23/2014	3/23/2016
Inactive	Federal Insurance Company	301144	Agent - Health	6/5/2017	11/13/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/6/2014	12/13/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/6/2014	12/14/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/4/2016	12/5/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/4/2016	12/5/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	5/13/2015	5/16/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/23/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/23/2014	3/23/2016
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/8/2018	9/28/2020
Inactive	Time Insurance Company	300683	Agent - Health	6/13/2014	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	6/13/2014	11/22/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/31/2019	1/24/2020

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	6/13/2014	3/31/2016
Inactive	AHB Sales LLC	787451	Agent - Health	6/13/2014	3/31/2016
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/27/2019	9/28/2020
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	6/13/2014	12/9/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	6/13/2014	12/9/2015