DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

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
Active	Transamerica Life Insurance Company	300571	Agent - Health	2/12/2025
Active	Transamerica Life Insurance Company	300571	Agent - Life	2/12/2025
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