DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Amen Hetep, Jason	DOIID	917901	NAIC NPN	8868361

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/10/2016	6/30/2020
Inactive	Non Resident	Agent	Health	6/10/2016	6/30/2020
* 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	5 Star Life Insurance Company	300673	Agent - Health	8/8/2019	6/30/2020
Inactive	5 Star Life Insurance Company	300673	Agent - Life	8/8/2019	6/30/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/7/2016	12/14/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/7/2016	12/14/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	11/28/2018	6/30/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	11/28/2018	6/30/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/23/2018	6/30/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/25/2016	2/18/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/7/2016	12/14/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	7/18/2016	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	7/18/2016	12/21/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/8/2019	6/30/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/23/2016	6/30/2020

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 - Health	6/27/2016	6/30/2020