DEPARTMENT OF INSURANCE

Affiliations

Name	David, Jeremiah Alan	DOIID	913330	NAIC NPN	17833852

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/21/2016	11/30/2026
Active	Non Resident	Agent	Personal Lines	7/31/2019	11/30/2026
Active	Non Resident	Agent	Life	4/21/2016	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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/13/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/18/2016
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/20/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/13/2020
Active	American General Life Insurance Company	301585	Agent - Health	2/25/2025
Active	American General Life Insurance Company	301585	Agent - Life	2/25/2025
Inactive	American Republic Insurance Company	300861	Agent - Health	8/1/2021	8/3/2022
Inactive	American Republic Insurance Company	300861	Agent - Life	8/1/2021	8/3/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2023	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/10/2023	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/10/2023	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/12/2020	12/10/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/12/2020	12/10/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/15/2021	7/21/2021
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/5/2016
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	12/5/2016
Inactive	California Casualty General Insurance Company of Oregon	301081	Agent - Personal Lines	8/9/2019	6/2/2022
Inactive	California Casualty Indemnity Exchange	301153	Agent - Personal Lines	8/20/2019	6/2/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/12/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/10/2023	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/25/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/28/2024
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	6/7/2018	6/24/2019
Inactive	GPM Health and Life Insurance Company	927255	Agent - Life	6/7/2018	6/24/2019
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	6/7/2018	4/22/2019
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	6/7/2018	4/22/2019
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	10/29/2019	11/30/2021
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2022	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	11/22/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/22/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/22/2017	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/17/2017	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	5/17/2017	12/21/2018
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	8/5/2016	1/24/2019
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	8/3/2016	7/26/2019
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	10/5/2016	4/5/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	10/5/2016	4/5/2018
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	2/15/2018	8/8/2022
Inactive	SILAC Insurance Company	300535	Agent - Health	5/12/2016	4/9/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	5/12/2016	4/9/2018
Active	SilverScript Insurance Company	663526	Agent - Health	5/13/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	5/8/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	6/15/2018	11/22/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/8/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/8/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/15/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/8/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/16/2020	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/16/2020

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	6/12/2020	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/12/2020	2/10/2025
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	11/18/2019	9/20/2021
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	11/18/2019	9/20/2021
Active	Medicare Complete	1342029	Agent - Life	5/24/2024
Active	Medicare Complete	1342029	Agent - Health	5/24/2024
Inactive	Qw Insurance Solutions, LLC	1047634	Agent - Health	6/10/2020	1/25/2023