DEPARTMENT OF INSURANCE

Affiliations

Name	Fair, Jordan M	DOIID	983257	NAIC NPN	18679963

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/1/2018	11/30/2025
Active	Non Resident	Agent	Health	2/1/2018	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/8/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/29/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/29/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	9/29/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	3/14/2018	12/6/2021
Active	American General Life Insurance Company	301585	Agent - Health	12/13/2024
Active	American General Life Insurance Company	301585	Agent - Life	12/13/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/6/2020	4/20/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/6/2020	4/20/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/18/2020	1/21/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	7/15/2019	12/13/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	7/15/2019	12/13/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	7/15/2019	12/13/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	7/15/2019	12/13/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/11/2018	8/27/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/14/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/8/2021
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/29/2018
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	2/16/2018	2/20/2022
Inactive	Heartland National Life Insurance Company	948749	Agent - Health	9/6/2019	6/18/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/21/2020	1/21/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/10/2018	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	2/3/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	1/11/2019	12/15/2020
Active	SilverScript Insurance Company	663526	Agent - Health	10/16/2019
Inactive	United American Insurance Company	300910	Agent - Health	3/12/2021	12/19/2022
Inactive	United American Insurance Company	300910	Agent - Life	3/12/2021	12/19/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	4/3/2018	11/22/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/24/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/24/2018	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/24/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/13/2021	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/13/2021	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	Designated Agent Company Inc.	681257	Agent - Life	6/10/2020	4/20/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/10/2020	4/20/2021