DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Jeffrey Tyler	DOIID	963918	NAIC NPN	18500556

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/16/2017		8/31/2025
Active	Non Resident	Agent	Health	8/16/2017		8/31/2025
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/13/2017	8/13/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/13/2017	8/13/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/13/2017	8/13/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	11/23/2017
Active	Anthem Life Insurance Company	301209	Agent - Life	11/23/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/13/2017	6/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	11/27/2017
Active	Designated Agent Company Inc.	681257	Agent - Health	11/27/2017
Active	Paychex Insurance Agency Inc	509469	Agent - Life	10/13/2017
Active	Paychex Insurance Agency Inc	509469	Agent - Health	10/13/2017