DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Jeffrey Michael	DOIID	908117	NAIC NPN	16959195

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/26/2021	6/30/2024
Inactive	Non Resident	Agent	Life	4/26/2021	6/30/2024
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	6/2/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/28/2023	4/29/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/28/2023	4/29/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/28/2023	4/29/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/18/2022	11/21/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/18/2022	11/21/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/18/2022	11/21/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/6/2021	6/30/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/6/2021	6/30/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/18/2022	11/21/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/20/2017	6/30/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/29/2021	5/31/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/29/2021	5/31/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/13/2017	8/17/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/13/2017	8/17/2017
Inactive	Humana Insurance Company	301104	Agent - Health	3/13/2017	8/17/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/13/2017	8/17/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/13/2017	8/17/2017
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/26/2022	2/9/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	3/25/2016	8/8/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/6/2022	11/9/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/28/2023	4/29/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/1/2022	6/22/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/1/2022	6/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/7/2022	5/22/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/7/2022	5/22/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/25/2021	5/16/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/25/2021	5/16/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/25/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/25/2021	5/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021	11/21/2022
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021	11/21/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	5/9/2016	4/25/2017