DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cohen, Jack Joel	DOIID	930216	NAIC NPN	17693170

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/22/2016		3/31/2025
Active	Non Resident	Agent	Health	9/22/2016		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2016
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2016
Active	Aetna Life Insurance Company	301140	Agent - Life	10/12/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/10/2016	3/21/2017
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/5/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/5/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/12/2016	6/15/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	8/23/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	8/23/2023
Inactive	Independence American Insurance Company	524747	Agent - Health	8/16/2017	12/18/2020
Active	National Health Insurance Company	300554	Agent - Health	9/13/2017
Inactive	Time Insurance Company	300683	Agent - Health	9/15/2017	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	9/15/2017	11/23/2019

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	11/10/2016	4/18/2017
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/28/2021	12/7/2023
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/28/2021	12/7/2023