DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jeffries, Sarita Ann	DOIID	1097828	NAIC NPN	8182626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/12/2020		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021	10/22/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	9/28/2020	12/1/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/17/2020	3/2/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/9/2020	3/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Health Plan Intermediaries Holdings	786463	Agent - Health