DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, John Jeffrey	DOIID	830296	NAIC NPN	2718798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	11/8/2018	10/31/2026
Active	Non Resident	Agent	Casualty	12/24/2013	10/31/2026
Active	Non Resident	Agent	Property	12/24/2013	10/31/2026
Active	Non Resident	Agent	Life	12/24/2013	10/31/2026
Active	Non Resident	Agent	Health	12/24/2013	10/31/2026
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/14/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/14/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	7/14/2017
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	5/17/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/26/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/25/2015	3/14/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/25/2015	12/19/2019
Active	First Health Life & Health Insurance Company	301735	Agent - Health	7/14/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/27/2016	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/27/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/25/2015	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	2/25/2015	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	2/25/2015	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/27/2016	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/27/2016	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/27/2016	12/19/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/5/2015	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/5/2015	1/22/2018
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/19/2022
Active	SilverScript Insurance Company	663526	Agent - Health	2/24/2020
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	10/3/2022
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/24/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/16/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/16/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/16/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/18/2019	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/18/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Black Gould & Assoc Inc	1048488	Agent - Health	5/20/2025
Active	Black Gould & Assoc Inc	1048488	Agent - Life	5/20/2025
Active	Employee Benefit/Risk Management Services LLC	1184425	Agent - Health	6/5/2025
Active	Employee Benefit/Risk Management Services LLC	1184425	Agent - Casualty	6/5/2025
Active	Employee Benefit/Risk Management Services LLC	1184425	Agent - Life	6/5/2025
Active	Employee Benefit/Risk Management Services LLC	1184425	Agent - Property	6/5/2025
Active	North Ranch Insurance Services, Inc.	1212187	Agent - Health	6/21/2022
Active	North Ranch Insurance Services, Inc.	1212187	Agent - Life	6/21/2022
Active	Pathian, LLC	998505	Administrator - Not Applicable	11/8/2018
Active	Warner Pacific Ins Services Inc	830455	Agent - Health	12/28/2013
Active	Warner Pacific Ins Services Inc	830455	Agent - Casualty	12/28/2013
Active	Warner Pacific Ins Services Inc	830455	Agent - Life	12/28/2013
Active	Warner Pacific Ins Services Inc	830455	Agent - Property	12/28/2013