DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gordon, Jacob	DOIID	926558	NAIC NPN	18056352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/29/2016	8/31/2018
Inactive	Non Resident	Agent	Health	8/29/2016	8/31/2018
* 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	9/1/2016	8/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/1/2016	8/31/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/7/2016	12/18/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/4/2016	8/31/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/1/2016	8/31/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/13/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/13/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/13/2016	6/8/2018

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	9/7/2016	12/20/2016
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	8/30/2017	1/31/2018
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	8/30/2017	1/31/2018