DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tsan, Jeffrey G	DOIID	1075216	NAIC NPN	7943826

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/20/2020		6/30/2025
Active	Non Resident	Agent	Health	2/20/2020		6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/1/2020	8/30/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/1/2020	8/30/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/1/2020	8/30/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	4/1/2020	3/27/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2020	8/30/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	4/1/2020	3/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Life	4/1/2020	7/21/2021
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Health	4/1/2020	7/21/2021