DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blanchard, Jalen Daquan	DOIID	1216675	NAIC NPN	20352999

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/14/2022		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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/20/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/20/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/20/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/26/2024
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/23/2024
Active	SilverScript Insurance Company	663526	Agent - Health	7/20/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/26/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/26/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/12/2022	1/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024