DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Jessica	DOIID	913273	NAIC NPN	17919282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/3/2016		11/30/2026
Active	Resident	Agent	Health	5/3/2016		11/30/2026
* 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
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	5/17/2016	7/20/2016
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	5/17/2016	7/20/2016
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/17/2016	7/20/2016
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/17/2016	7/20/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Fidelity Insurance Agency Inc.	400221	Agent - Life
Pending	Fidelity Insurance Agency Inc.	400221	Agent - Health