DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Juanita	DOIID	961630	NAIC NPN	17036311

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/24/2020	11/30/2023
Inactive	Non Resident	Agent	Property	2/11/2022	11/30/2023
Inactive	Non Resident	Agent	Casualty	2/11/2022	11/30/2023
Inactive	Non Resident	Agent	Health	9/24/2020	11/30/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/19/2021	7/19/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/19/2021	7/19/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/19/2021	7/19/2023
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	9/16/2022	3/3/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	9/16/2022	3/3/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	9/16/2022	3/3/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	9/16/2022	3/3/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/16/2022	3/3/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/16/2022	3/3/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	9/16/2022	3/3/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	9/16/2022	3/3/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	12/15/2020	1/14/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	12/15/2020	1/14/2022
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	10/8/2018	11/30/2019
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	10/8/2018	11/30/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/14/2022	2/16/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/14/2022	2/16/2023
Inactive	CICA Life Insurance Company of America	600487	Agent - Life	11/3/2023	12/18/2023
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/30/2023	7/19/2023
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/30/2023	7/19/2023
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	6/26/2023	8/9/2023
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/22/2017	8/12/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/8/2022	2/16/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/8/2022	2/16/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/14/2022	2/16/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/14/2022	2/16/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/22/2022	4/8/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/22/2022	4/8/2023
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/22/2022	4/8/2023
Inactive	Grange Insurance Company	300234	Agent - Property	2/22/2022	4/8/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/22/2022	4/8/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/22/2022	4/8/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	5/7/2019	11/30/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/24/2023	7/13/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/24/2023	7/13/2023
Inactive	Safe Auto Insurance Company	300419	Agent - Casualty	3/4/2022	7/20/2023
Inactive	Safe Auto Insurance Company	300419	Agent - Property	3/4/2022	7/20/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/19/2021	7/19/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	1/24/2023	7/13/2023
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/22/2022	4/8/2023
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/22/2022	4/8/2023
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/27/2020	7/1/2022
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/27/2020	7/1/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/24/2023	7/13/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/24/2023	7/13/2023
Inactive	United Home Life Insurance Company	300421	Agent - Life	6/20/2023	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Health	1/24/2023	7/13/2023
Inactive	Unum Insurance Company	301499	Agent - Life	1/24/2023	7/13/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/6/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/6/2020	12/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	2/17/2022	2/21/2023
Inactive	Insurance Answer Center LLC	694353	Agent - Property	2/17/2022	2/21/2023
Inactive	Optavise, LLC	671337	Agent - Health	10/14/2020	7/19/2023
Inactive	Optavise, LLC	671337	Agent - Life	10/14/2020	7/1/2022