DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Masarek, Jason	DOIID	936043	NAIC NPN	16111341

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/7/2016	9/30/2023
Inactive	Non Resident	Agent	Life	11/7/2016	9/30/2023
* 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	AXIS Insurance Company	301290	Agent - Health	11/25/2019	12/14/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/6/2019	7/27/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/25/2019	9/30/2023
Inactive	Aspen American Insurance Company	301513	Agent - Health	10/17/2019	12/14/2020
Inactive	Federal Insurance Company	301144	Agent - Health	7/12/2019	1/31/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	1/31/2023	8/21/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/17/2016	10/30/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/17/2016	10/30/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/12/2020	10/3/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/12/2020	10/3/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/17/2021	12/23/2022
Inactive	LifeShield National Insurance Company	737111	Agent - Health	4/25/2019	12/21/2021
Inactive	National Health Insurance Company	300554	Agent - Health	3/11/2020	9/30/2023
Inactive	National Health Insurance Company	300554	Agent - Life	3/11/2020	9/30/2023
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	2/20/2020	10/18/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/11/2019	12/6/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	12/30/2021	9/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	3/6/2019	4/20/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/18/2016	10/30/2018
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/18/2016	10/30/2018