DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jarrett, Belinda Janice	DOIID	855964	NAIC NPN	17199751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/6/2016	7/31/2018
Inactive	Non Resident	Agent	Life	10/6/2016	7/31/2018
* 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	11/1/2014	10/15/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/3/2016	6/25/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/3/2016	6/25/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	10/28/2015	6/23/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	10/28/2015	6/23/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/24/2016	7/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/24/2016	7/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/24/2016	7/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	3/24/2016	7/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	3/24/2016	7/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/24/2016	7/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/24/2016	7/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/24/2016	7/31/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/12/2015	7/31/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/12/2015	7/31/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/12/2015	7/31/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/12/2015	7/31/2016

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	3/3/2016	6/27/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/3/2016	6/27/2016