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.

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