DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Koontz, Jeffrey	DOIID	1305300	NAIC NPN	2321837

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/16/2023		6/30/2027
Active	Non Resident	Agent	Health	10/16/2023		6/30/2027
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/25/2023	10/30/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/25/2023	10/30/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/25/2023	10/30/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/27/2024	10/30/2026
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/8/2024
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/8/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/25/2023	10/30/2026
Active	United of Omaha Life Insurance Company	300156	Agent - Health	2/18/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Life	2/18/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/27/2024	10/30/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/27/2024	10/30/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alera General Agency Insurance Services LLC	1309494	Agent - Life	11/8/2023
Active	Alera General Agency Insurance Services LLC	1309494	Agent - Health	11/8/2023