DEPARTMENT OF INSURANCE

Affiliations

Name	MediGap Life, LLC	DOIID	993791	NAIC NPN	18126904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/9/2018	3/31/2026
Active	Non Resident	Agent	Life	5/9/2018	3/31/2026
* 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	Accendo Insurance Company	300312	Agent - Life	11/13/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/26/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/13/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/26/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/26/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	11/13/2020	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	9/23/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/17/2018	4/8/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/18/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/7/2021	4/3/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/10/2021	4/3/2023
Inactive	Clear Spring Health Insurance Company	301686	Agent - Health	10/10/2022	12/19/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/13/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/17/2018	4/29/2019
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/11/2024
Active	Gerber Life Insurance Company	300529	Agent - Health	5/6/2025
Active	Gerber Life Insurance Company	300529	Agent - Life	5/6/2025
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	1/23/2025
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	1/23/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	3/26/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	3/26/2025
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/26/2024
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/26/2024
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	10/20/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/17/2018	4/8/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/8/2018	4/8/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/17/2018	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2018	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	6/8/2018	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/17/2018	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/17/2018	4/29/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/26/2023	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/17/2018	4/8/2020
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	6/16/2023	12/21/2023
Active	Medco Containment Life Insurance Company	301557	Agent - Health	2/10/2025
Active	North American Company for Life and Health Insurance	300291	Agent - Life	5/12/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/26/2022
Active	Tier One Insurance Company	301056	Agent - Health	9/28/2021
Active	Tier One Insurance Company	301056	Agent - Life	1/24/2025
Active	United American Insurance Company	300910	Agent - Health	1/23/2025
Active	United American Insurance Company	300910	Agent - Life	1/23/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/11/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/11/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/11/2019
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/10/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Jaffy, Brett Ira	930769	Agent - Health	5/9/2018
Active	Jaffy, Brett Ira	930769	Agent - Life	5/9/2018