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.

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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/18/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	9/23/2019
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
Active	Designated Agent Company Inc.	681257	Agent - Health	4/21/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/11/2019	10/19/2022