DEPARTMENT OF INSURANCE
Affiliations
NameLong, Jason EdwardDOIID1024261NAIC NPN18456671
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/29/2024 5/31/2027
InactiveNon ResidentAgentHealth1/7/20195/31/2023 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202705/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmFirst Insurance Company999525Agent - Life4/13/2026 
ActiveAmerican National Insurance Company301861Agent - Life4/17/2024 
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life10/16/2025 
ActiveAspida Life Insurance Company301934Agent - Life6/30/2025 
ActiveBaltimore Life Insurance Company300286Agent - Life8/28/2025 
InactiveBrighthouse Life Insurance Company301829Agent - Life10/22/20195/31/2023
ActiveFidelity Security Life Insurance Company300466Agent - Life8/19/2026 
ActiveGulf Guaranty Life Insurance Company1037119Agent - Life2/6/2026 
ActiveMerit Life Insurance Co.300150Agent - Life3/21/2025 
ActiveMountain Life Insurance Company301001Agent - Life2/24/2025 
ActiveRevol One Insurance Company300681Agent - Life10/24/2025 
InactiveWestern and Southern Life Insurance Company301744Agent - Health1/9/201910/1/2019
InactiveWestern and Southern Life Insurance Company301744Agent - Life1/9/201910/1/2019
InactiveWestern-Southern Life Assurance Company301590Agent - Health1/9/201910/1/2019
InactiveWestern-Southern Life Assurance Company301590Agent - Life1/9/201910/1/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life11/4/20196/22/2022
DeniedMerrill Lynch Life Agency Inc.400527Agent - Health  

© Commonwealth of Kentucky. All rights reserved.