DEPARTMENT OF INSURANCE
Affiliations
NameFortuna, Jasper DOIID1399699NAIC NPN15671538
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth5/13/2025 5/31/2027
ActiveNon ResidentAgentLife5/13/2025 5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
PendingGohealth LLC691445Agent - Life  
PendingGohealth LLC691445Agent - Health  

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