DEPARTMENT OF INSURANCE
Affiliations
NameGardner, Jazzmin SDOIID816005NAIC NPN16305334
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/30/20133/31/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health9/2/20143/31/2016
InactiveAetna Health Insurance Company301583Agent - Health9/2/20143/31/2016
InactiveAetna Life Insurance Company301140Agent - Health9/2/20143/31/2016
InactiveFirst Health Life & Health Insurance Company301735Agent - Health9/2/20143/31/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20143/31/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health5/1/20143/31/2016
InactiveHumana Health Plan, Inc.300142Agent - Health5/1/20143/31/2016
InactiveHumana Insurance Company301104Agent - Health5/1/20143/31/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/1/20143/31/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20143/31/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/30/20139/5/2013
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/30/20139/5/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlorica Customer Care, Inc.800938Agent - Health5/1/20146/4/2014

© Commonwealth of Kentucky. All rights reserved.