DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hardin, Jeremiah Wayne	DOIID	851773	NAIC NPN	17188270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/12/2014	10/31/2017
Inactive	Non Resident	Agent	Life	9/12/2014	10/31/2017
* 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 Life Insurance Company	301209	Agent - Health	10/22/2014	11/3/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/3/2014	8/22/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/3/2014	8/22/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/29/2016	10/31/2017
Inactive	Humana Insurance Company	301104	Agent - Health	12/29/2016	10/31/2017
Inactive	Humana Insurance Company	301104	Agent - Life	12/27/2016	10/31/2017

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 - Life	11/3/2014	8/22/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/22/2014	11/2/2016