DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gingras, Jesse	DOIID	964861	NAIC NPN	18511060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/24/2017	2/18/2020
Inactive	Non Resident	Agent	Health	8/24/2017	2/18/2020
* 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	Continental American Insurance Company	301700	Agent - Health	12/29/2017	2/11/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	12/29/2017	2/11/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/19/2018	2/18/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/19/2018	2/18/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	4/19/2018	2/18/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/19/2018	2/18/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/19/2018	2/18/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/28/2019	2/18/2020
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/28/2019	2/18/2020