DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hadiprodjo, Jonathan Benito	DOIID	1008129	NAIC NPN	18876060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/4/2018	2/29/2020
Inactive	Non Resident	Agent	Life	9/4/2018	2/29/2020
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	10/16/2018	2/29/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	10/16/2018	2/29/2020
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/11/2018	8/21/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	10/11/2018	6/19/2019
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	10/16/2018	6/19/2019