DEPARTMENT OF INSURANCE

Affiliations

Name	Fife, Jeremy Dan	DOIID	1401003	NAIC NPN	7696215

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/20/2025	11/30/2026
Active	Non Resident	Agent	Life	5/20/2025	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
Active	AXIS Insurance Company	301290	Agent - Health	7/8/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/8/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/8/2025
Active	BCS Insurance Company	300294	Agent - Health	7/29/2025
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Health	7/24/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/3/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/3/2025
Active	Companion Life Insurance Company	300191	Agent - Health	7/22/2025
Active	Companion Life Insurance Company	300191	Agent - Life	7/22/2025
Active	Gerber Life Insurance Company	300529	Agent - Health	7/14/2025
Active	HCC Life Insurance Company	301827	Agent - Health	8/29/2025
Active	Nationwide Life Insurance Company	300495	Agent - Health	7/14/2025
Active	Nationwide Life Insurance Company	300495	Agent - Life	7/14/2025
Active	North River Insurance Company (The)	301739	Agent - Health	7/17/2025
Active	Pan-American Life Insurance Company	301530	Agent - Health	7/17/2025
Active	Pan-American Life Insurance Company	301530	Agent - Life	7/17/2025
Active	PartnerRe America Insurance Company	301938	Agent - Health	7/1/2025
Active	ProSelect Insurance Company	826988	Agent - Health	4/3/2026
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	8/6/2025
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	8/6/2025
Active	Symetra Life Insurance Company	301691	Agent - Health	7/17/2025
Active	Symetra Life Insurance Company	301691	Agent - Life	7/17/2025
Active	Unimerica Insurance Company	563724	Agent - Health	7/8/2025
Active	Unimerica Insurance Company	563724	Agent - Life	7/8/2025
Active	Union Labor Life Insurance Company	301832	Agent - Health	7/14/2025
Active	Union Labor Life Insurance Company	301832	Agent - Life	7/14/2025
Active	United States Fire Insurance Company	582240	Agent - Health	7/15/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/8/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/8/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/8/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/8/2025
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	7/21/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amwin Self-Funded, LLC	856012	Agent - Life	7/25/2025
Active	Amwin Self-Funded, LLC	856012	Agent - Health	7/25/2025