DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hargrove, Jermisha Samone	DOIID	886481	NAIC NPN	17623415

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/12/2015	9/30/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/13/2018	9/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/13/2018	9/30/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/14/2018	9/30/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/24/2019	9/30/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/13/2018	9/30/2019
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	5/31/2016	3/12/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	9/30/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/26/2016	3/12/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	3/12/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/26/2016	12/19/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/26/2016	3/12/2018

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	7/16/2018	9/30/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	6/19/2019	9/30/2019