DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rabalais, Jeremy Wayne	DOIID	898296	NAIC NPN	7463234

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/8/2016	2/28/2019
Inactive	Non Resident	Agent	Life	6/8/2016	2/28/2019
* 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	Investors Heritage Life Insurance Company	300363	Agent - Life	11/10/2015	12/3/2015
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	2/15/2017	4/19/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	2/15/2017	4/19/2018
Inactive	Medico Insurance Company	301559	Agent - Health	2/15/2017	12/26/2018
Inactive	Medico Insurance Company	301559	Agent - Life	2/15/2017	12/26/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	2/14/2018	12/26/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	2/14/2018	12/26/2018
Inactive	National Western Life Insurance Company	301515	Agent - Life	11/29/2016	2/28/2019
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	4/6/2017	7/6/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Peak American Financial Group, Inc.	634897	Agent - Life	6/10/2016	2/28/2019
Inactive	Peak American Financial Group, Inc.	634897	Agent - Health	6/10/2016	2/28/2019