DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mobley, Jan Hixon	DOIID	840138	NAIC NPN	1183107

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/6/2014	5/31/2021
Inactive	Non Resident	Agent	Life	5/6/2014	5/31/2021
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	12/2/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/2/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/2/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	12/2/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	12/2/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/2/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/2/2014	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ism Insurance, Inc.	397638	Agent - Life	12/2/2014	12/8/2015
Inactive	Ism Insurance, Inc.	397638	Agent - Health	12/2/2014	12/8/2015