DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brunworth, Janis Kay	DOIID	826838	NAIC NPN	17102541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/6/2013	8/31/2016
Inactive	Non Resident	Agent	Health	11/6/2013	8/31/2016
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/28/2015	8/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/28/2015	8/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/28/2015	8/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/3/2013	6/26/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/3/2013	6/26/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/6/2013	3/7/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/6/2013	3/7/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/28/2015	8/31/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	10/28/2015	8/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/8/2013	3/4/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/8/2013	3/4/2014
Inactive	Humana Insurance Company	301104	Agent - Life	11/8/2013	3/4/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/8/2013	3/4/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/8/2013	3/4/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/7/2013	2/27/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/7/2013	2/27/2014

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	12/3/2013	6/26/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/3/2013	6/26/2014