PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameChang, Jason JonathanDOIID824152NAIC NPN17083669
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth6/24/20162/28/2018 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/30/201610/30/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health10/16/201312/4/2013
InactiveDental Concern Inc. (The)301641Agent - Health6/28/20165/3/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health6/28/20165/3/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/28/20165/3/2017
InactiveHumana Health Plan, Inc.300142Agent - Health6/28/20165/3/2017
InactiveHumana Insurance Company301104Agent - Health6/28/20165/3/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/28/20165/3/2017
InactiveHumana Medical Plan, Inc.801568Agent - Health6/28/20165/3/2017
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20165/3/2017
InactiveKanawha Insurance Company300127Agent - Health10/16/201312/4/2013
InactiveSilverScript Insurance Company663526Agent - Health7/28/201612/29/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/18/201412/10/2015
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/18/201412/10/2015
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/201512/10/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveeHealthInsurance Services Inc.514105Agent - Health7/1/201610/5/2016

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