DEPARTMENT OF INSURANCE

Affiliations

Name	Washburn, Jacob Tyler	DOIID	963736	NAIC NPN	18463029

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/14/2017	1/31/2024
Inactive	Non Resident	Agent	Health	8/14/2017	1/31/2024
* 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 - Health	3/8/2022	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	3/8/2022	1/31/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/19/2023	1/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/8/2022	1/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/19/2023	1/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/19/2023	1/31/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	8/25/2017	12/15/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	12/29/2021	2/22/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	12/29/2021	2/22/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/10/2023	11/10/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/10/2023	11/10/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/10/2023	11/10/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/16/2020	5/8/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/16/2020	5/8/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/22/2020	5/6/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/10/2023	8/17/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/10/2023	11/10/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/8/2022	1/31/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/8/2022	1/31/2024
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/12/2019	7/15/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	1/25/2022	4/28/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	1/25/2022	4/28/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/4/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/20/2023	2/9/2024
Inactive	Humana Insurance Company	301104	Agent - Life	4/4/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/4/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/4/2018	12/10/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/5/2018	12/16/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/18/2022	12/16/2022
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	1/20/2022	3/21/2022
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/4/2018	12/29/2018
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/2/2023	10/10/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	3/12/2018	8/8/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/19/2023	1/31/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	10/15/2018	12/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/14/2021	12/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/14/2021	12/22/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/10/2023	8/17/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/10/2023	8/17/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/25/2020	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/25/2020	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	Designated Agent Company Inc.	681257	Agent - Life	7/16/2020	5/8/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/16/2020	5/10/2021
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/12/2018	4/18/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	4/18/2019