DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fourney, Jocelyn	DOIID	809168	NAIC NPN	7398005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/1/2013		12/31/2024
Active	Non Resident	Agent	Life	5/1/2013		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/11/2013	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/11/2013	11/2/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/11/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/11/2013	11/2/2016
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	11/11/2013	11/2/2016
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	11/11/2013	11/2/2016