DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Selena Rose	DOIID	808563	NAIC NPN	16945290

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/26/2013	1/1/2015
Inactive	Resident	Agent	Health	4/26/2013	1/1/2015
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/29/2013	1/28/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/29/2013	1/28/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/11/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/11/2013	12/5/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/13/2013	1/1/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/13/2013	1/1/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/11/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2013	1/1/2015
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2013	1/1/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/11/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/11/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/11/2013	12/5/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/6/2013	1/1/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/6/2013	1/1/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/6/2013	1/1/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/6/2013	1/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	FSAB, LLC	576450	Agent - Life	11/6/2013	1/1/2015
Inactive	FSAB, LLC	576450	Agent - Health	11/6/2013	1/1/2015