DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cusick, Jill Ann	DOIID	972155	NAIC NPN	16878874

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/31/2020	10/31/2023
Inactive	Non Resident	Agent	Personal Lines	10/11/2017	10/31/2023
* 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	12/10/2020	10/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/10/2020	10/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/10/2020	10/31/2023
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	12/30/2021	3/10/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/10/2020	10/31/2023
Inactive	Trumbull Insurance Company	300242	Agent - Personal Lines	10/13/2017	1/10/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Personal Lines	10/12/2017	1/10/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/6/2021	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/6/2021	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	12/30/2021	3/10/2022
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Health	12/30/2021	10/31/2023