DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Konal, Jerome Francis	DOIID	987012	NAIC NPN	8982566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/9/2018		7/31/2025
Active	Non Resident	Agent	Life	3/9/2018		7/31/2025
Active	Non Resident	Life & Health Consultant	Not Applicable	3/7/2024		7/31/2025
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	10/7/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/7/2021
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/7/2021
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/7/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Michigan Inc	561744	Agent - Health	4/4/2018	2/25/2020
Inactive	Willis Of Michigan Inc	561744	Agent - Life	4/4/2018	2/25/2020
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	2/6/2020	9/30/2021
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	2/6/2020	9/30/2021