DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lane, Jeffrey Michael	DOIID	952881	NAIC NPN	18386876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/3/2017		12/31/2025
Active	Non Resident	Agent	Life	5/3/2017		12/31/2025
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/19/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	11/19/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	11/19/2023
Inactive	CareSource Kentucky Co.	838179	Agent - Health	4/15/2021	4/7/2023
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/26/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/26/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	5/5/2017
Active	Golden Rule Insurance Company	301943	Agent - Life	5/5/2017
Inactive	Independence American Insurance Company	524747	Agent - Health	6/13/2017	12/18/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021