DEPARTMENT OF INSURANCE

Affiliations

Name	Penick, Jason S	DOIID	818695	NAIC NPN	13813344

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/27/2013	8/31/2018
Inactive	Non Resident	Agent	Health	8/27/2013	8/31/2018
Inactive	Non Resident	Agent	Personal Lines	6/25/2014	8/31/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/17/2016	4/20/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/17/2016	4/20/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/17/2016	7/2/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	3/26/2015	7/13/2015
Inactive	American General Life Insurance Company	301585	Agent - Life	3/26/2015	7/13/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/28/2016	1/19/2017
Inactive	Esurance Insurance Company	301072	Agent - Personal Lines	7/7/2014	11/20/2014
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Personal Lines	7/7/2014	11/20/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/17/2016	4/20/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/11/2015	4/29/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/11/2015	4/29/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/28/2016	1/19/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/28/2016	1/19/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/28/2016	1/19/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2016	1/19/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/28/2016	1/19/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/28/2016	1/19/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/28/2016	1/19/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/28/2016	1/19/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/28/2016	1/19/2017
Inactive	Time Insurance Company	300683	Agent - Health	8/28/2013	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	8/28/2013	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/19/2015	8/31/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/19/2015	8/31/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/6/2015	12/22/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/6/2015	12/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Esurance Ins Services Inc	709770	Agent - Personal Lines	7/7/2014	11/20/2014
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/19/2015	4/2/2015
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	3/19/2015	4/2/2015