DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Guillman, Jordan	DOIID	828230	NAIC NPN	17117863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/22/2013		4/30/2025
Active	Non Resident	Agent	Health	11/22/2013		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	12/2/2013	3/27/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	12/2/2013	3/27/2018
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/23/2014
Inactive	New York Life Insurance Company	300431	Agent - Health	11/26/2013	5/25/2017
Inactive	New York Life Insurance Company	300431	Agent - Life	11/26/2013	5/25/2017
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/26/2013
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/26/2013
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/2/2013	3/27/2018
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/2/2013	3/27/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/9/2014
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/9/2014