DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Obanion, Jacqualine Kay	DOIID	805611	NAIC NPN	1457947

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/14/2022		11/30/2025
Active	Resident	Agent	Health	2/14/2022		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/29/2016	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Health	4/3/2014	7/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	4/3/2014	7/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/3/2014	7/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/3/2014	7/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Prospective Risk Management LLC	831956	Agent - Life	5/26/2016	5/4/2020
Inactive	Prospective Risk Management LLC	831956	Agent - Health	5/26/2016	5/4/2020