DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Everett, Jason Adam	DOIID	902459	NAIC NPN	17401576

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/23/2015	9/29/2017
Inactive	Non Resident	Agent	Health	12/23/2015	9/29/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/24/2016	9/29/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/24/2016	9/29/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/24/2016	9/29/2017
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	1/22/2016	9/29/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/25/2016	9/29/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/25/2016	9/29/2017
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/26/2016	9/29/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	6/24/2016	9/29/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/1/2016	3/27/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/25/2016	3/8/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/25/2016	3/8/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/13/2016	5/26/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/1/2016	3/27/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/1/2016	3/27/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/1/2016	3/27/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/10/2016	6/23/2016
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/10/2016	7/13/2016
Inactive	Unified Life Insurance Company	543169	Agent - Health	11/10/2016	4/13/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/25/2016	9/29/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/25/2016	9/29/2017