DEPARTMENT OF INSURANCE

Affiliations

Name	Sieger, Jack	DOIID	928621	NAIC NPN	18004971

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/13/2016	4/12/2023
Inactive	Non Resident	Agent	Health	9/13/2016	4/12/2023
* 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 - Life	6/10/2020	4/12/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/20/2016	4/12/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/28/2021	4/12/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/11/2020	4/12/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/20/2016	4/12/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/6/2017	4/12/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/23/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/28/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/28/2017	10/20/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	6/8/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/12/2016	4/12/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/12/2016	4/12/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	12/15/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/20/2016	4/12/2023
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/22/2017	9/24/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/26/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/26/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/26/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/26/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/26/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/28/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/28/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/26/2016	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/25/2017	12/21/2018
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	1/31/2018	2/12/2019
Inactive	Omaha Insurance Company	751908	Agent - Health	1/27/2017	12/22/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	4/12/2023

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	7/28/2017	10/17/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/23/2017	10/17/2018