DEPARTMENT OF INSURANCE

Affiliations

Name	Cervantes, Jami Brook	DOIID	850160	NAIC NPN	9342948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/4/2014	3/31/2024
Inactive	Resident	Agent	Life	9/4/2014	3/31/2024
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/18/2018	3/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/18/2018	3/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/18/2018	3/31/2024
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/22/2020	3/31/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/24/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/24/2014	12/8/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/30/2014	3/31/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/30/2014	3/31/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/24/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/24/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/24/2014	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Life	11/7/2014	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/24/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/24/2014	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/5/2016	12/23/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/5/2016	12/23/2016
Inactive	Principal National Life Insurance Company	301926	Agent - Life	3/14/2019	3/31/2024
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	4/5/2019	3/31/2024
Inactive	Thrivent Financial for Lutherans	301101	Agent - Life	4/5/2019	3/31/2024
Inactive	Time Insurance Company	300683	Agent - Health	10/13/2014	11/25/2019
Inactive	Time Insurance Company	300683	Agent - Life	10/13/2014	11/25/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

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	9/18/2018	3/31/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/18/2018	3/31/2024