DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Menard, Jeffrey J	DOIID	838331	NAIC NPN	8640873

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/14/2014		8/31/2025
Active	Non Resident	Agent	Life	4/14/2014		8/31/2025
* 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	Metropolitan Life Insurance Company	301948	Agent - Health	7/29/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Life	7/29/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/7/2014	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/7/2014	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/7/2014	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/7/2014	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Life	5/7/2014
Active	Paychex Insurance Agency Inc	509469	Agent - Health	5/7/2014