DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ashworth, Jamie	DOIID	893386	NAIC NPN	17724498

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/28/2015		9/30/2024
Active	Non Resident	Agent	Health	9/28/2015		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental American Insurance Company	301700	Agent - Health	10/22/2015
Active	Continental American Insurance Company	301700	Agent - Life	10/22/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/9/2019	3/6/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/19/2015	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/19/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/19/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/19/2015	7/29/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/12/2018	1/20/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/12/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/12/2018	1/20/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/12/2018	1/20/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aptia Insurance Services Group LLC	1283785	Agent - Health	3/25/2024
Active	Aptia Insurance Services Group LLC	1283785	Agent - Life	3/25/2024
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/28/2019
Active	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/28/2019