DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lemonis, Jason	DOIID	1138792	NAIC NPN	19909009

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/10/2021		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/4/2021	8/2/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/17/2022	2/19/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/16/2021	8/2/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/16/2021	8/2/2022
Inactive	Humana Insurance Company	301104	Agent - Health	8/30/2021	8/2/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/18/2021	8/2/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/22/2021	8/2/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/17/2022	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/17/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/17/2022	2/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carida Insurance Services Inc.	1119351	Agent - Health	4/18/2023	2/19/2024
Denied	TZ Insurance Solutions LLC	727470	Agent - Health
Inactive	Trubridge Inc	717747	Agent - Health	2/13/2024	2/19/2024