DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jastremski, David	DOIID	980337	NAIC NPN	17219539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/28/2017	9/30/2021
Inactive	Non Resident	Agent	Life	12/28/2017	9/30/2021
* 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	AXIS Insurance Company	301290	Agent - Health	8/23/2018	10/10/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/7/2018	9/30/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	4/7/2018	8/11/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	9/24/2018	2/12/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/10/2019	5/1/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/10/2019	5/1/2020
Inactive	Continental American Insurance Company	301700	Agent - Health	4/12/2019	10/4/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/7/2018	9/30/2021
Inactive	Federal Insurance Company	301144	Agent - Health	5/27/2020	10/10/2021
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	3/23/2018	2/22/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/2/2021	9/20/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/2/2021	9/20/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/16/2020	9/30/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/3/2019	6/9/2021
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	7/14/2020	9/28/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/21/2018	9/19/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/26/2021	9/30/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	6/17/2020	9/30/2021
Inactive	Wellfleet Insurance Company	300542	Agent - Health	8/12/2021	9/30/2021

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	12/10/2019	9/20/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/10/2019	9/30/2021