DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Jeremy T	DOIID	1241075	NAIC NPN	20457937

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/31/2024	11/30/2026
Active	Non Resident	Agent	Health	11/8/2022	11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	2/1/2023	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/3/2023	9/30/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/1/2023	1/21/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/3/2023	9/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/3/2023	9/30/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	5/22/2023	12/27/2024
Active	American General Life Insurance Company	301585	Agent - Life	4/16/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/12/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/11/2022	4/4/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/12/2025
Active	CICA Life Insurance Company of America	600487	Agent - Life	2/16/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/15/2024	9/18/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	1/2/2024	7/11/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/12/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/1/2023	1/21/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/9/2025
Active	Pruco Life Insurance Company	300954	Agent - Life	3/2/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/3/2023	9/30/2024
Active	Tier One Insurance Company	301056	Agent - Health	3/20/2025
Active	Tier One Insurance Company	301056	Agent - Life	3/20/2025
Active	United Home Life Insurance Company	300421	Agent - Life	12/25/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/15/2024	9/18/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/15/2024	9/18/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/23/2022	3/2/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/11/2024	11/7/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/23/2022	3/2/2024

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	3/28/2023	5/15/2024