DEPARTMENT OF INSURANCE

Affiliations

Name	Gormley, Jasemin	DOIID	981256	NAIC NPN	18567703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/10/2018		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/22/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/9/2018	12/15/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/22/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/22/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/18/2019	7/23/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/18/2020	12/12/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/23/2019	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/30/2018	8/22/2019
Inactive	Aspen American Insurance Company	301513	Agent - Health	7/17/2019	12/14/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/15/2019	12/8/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/9/2018	12/15/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/28/2018	7/8/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/2/2019	7/1/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/30/2018	12/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/30/2019	8/22/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/30/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/30/2018	8/22/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/30/2018	8/22/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/30/2018	8/22/2019
Inactive	Independence American Insurance Company	524747	Agent - Health	2/20/2020	12/30/2022
Inactive	LifeShield National Insurance Company	737111	Agent - Health	5/3/2019	12/21/2021
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/30/2021	9/11/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/22/2024
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/30/2020	5/8/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/10/2018	4/3/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	1/10/2018	4/3/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/10/2018	4/3/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/21/2020	2/10/2025
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/11/2019	10/19/2022