DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Book, Jonathan C	DOIID	873485	NAIC NPN	17546224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	6/16/2015	11/1/2016
Inactive	Resident	Agent	Casualty	6/9/2015	11/1/2016
Inactive	Resident	Agent	Health	4/23/2015	11/1/2016
Inactive	Resident	Agent	Life	4/16/2015	11/1/2016
* 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	4/29/2015	12/19/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2015	12/19/2016
Inactive	EMC National Life Company	300388	Agent - Health	4/30/2015	11/1/2016
Inactive	EMC National Life Company	300388	Agent - Life	4/30/2015	11/1/2016

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 - Life	5/1/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/1/2015	11/2/2016
Inactive	Worth Insurance Group INC	398245	Agent - Life	4/30/2015	11/1/2016
Inactive	Worth Insurance Group INC	398245	Agent - Health	4/29/2015	11/1/2016