DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Edmond, Jamall	DOIID	898650	NAIC NPN	17770238

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/13/2015		6/30/2026
Active	Non Resident	Agent	Health	11/13/2015		6/30/2026
* 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	04/15/2024	06/30/2024	06/04/2024	06/04/2024	Yes

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	11/13/2015
Active	Continental American Insurance Company	301700	Agent - Life	11/13/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/23/2015	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/23/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/23/2015	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/23/2015	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/28/2019
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/28/2019