DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Jeremy Glenn	DOIID	1004173	NAIC NPN	9712908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/8/2018	12/16/2022
Inactive	Non Resident	Agent	Health	8/8/2018	12/16/2022
* 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
Inactive	Elixir Insurance Company	696846	Agent - Health	5/6/2019	10/21/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	8/14/2018	9/9/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/14/2018	9/9/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/3/2019	10/24/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/3/2019	10/24/2019
Inactive	Independence American Insurance Company	524747	Agent - Health	5/28/2019	10/1/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	5/28/2019	9/19/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/4/2019	3/3/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/13/2019	11/6/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/13/2019	11/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	8/14/2018	9/9/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	8/14/2018	9/9/2022