DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Belthoff, Jason Michael	DOIID	895283	NAIC NPN	17561437

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/14/2015		6/30/2026
Active	Non Resident	Agent	Life	10/14/2015		6/30/2026
* 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
Active	American General Life Insurance Company	301585	Agent - Health	10/16/2015
Active	American General Life Insurance Company	301585	Agent - Life	10/16/2015
Active	Banner Life Insurance Company	301696	Agent - Life	10/30/2015
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	10/28/2015
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	10/28/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/30/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/30/2016
Active	Pruco Life Insurance Company	300954	Agent - Life	3/3/2017
Active	Symetra Life Insurance Company	301691	Agent - Health	11/7/2022
Active	Symetra Life Insurance Company	301691	Agent - Life	11/7/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/28/2015	6/13/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/28/2015	6/13/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Health	5/22/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Life	5/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	SelectQuote Insurance Services	533194	Agent - Life	11/4/2015
Active	SelectQuote Insurance Services	533194	Agent - Health	11/4/2015