DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Jake R	DOIID	1185104	NAIC NPN	19394412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/29/2024		4/30/2026
Inactive	Non Resident	Agent	Life	1/27/2022	4/30/2024
* 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	Accendo Insurance Company	300312	Agent - Health	2/3/2022	4/6/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	2/3/2022	4/6/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/4/2024	4/30/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/3/2022	4/6/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/25/2025	4/30/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/4/2024	4/30/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/18/2025	4/23/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/6/2023	10/23/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/18/2025	4/23/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/25/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/17/2025	4/23/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/18/2025	4/23/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/3/2022	4/6/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/3/2022	4/6/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/14/2025	3/25/2025
Active	Humana Insurance Company	301104	Agent - Health	4/25/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/7/2025	3/25/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/4/2024	4/30/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/14/2023	4/30/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/14/2023	4/30/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/17/2025	4/23/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/16/2022	9/19/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/17/2025	4/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	2/17/2022	3/2/2023
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/3/2025	3/31/2025