DEPARTMENT OF INSURANCE

Affiliations

Name	Ottaway, Jeffrey J	DOIID	329288	NAIC NPN	1496760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/30/2011		5/31/2026
Active	Non Resident	Agent	Life	4/1/2011		5/31/2026
Inactive	Non Resident	Agent	Health Maintenance Organization	12/8/1997	3/1/2001
Inactive	Non Resident	Agent	Property	8/15/2000	5/31/2010
Inactive	Non Resident	Agent	Casualty	8/15/2000	5/31/2010
Inactive	Non Resident	Agent	General Lines	3/9/1993	8/15/2000
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	5/10/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/5/2014
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/16/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/5/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	5/5/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	10/16/2019	8/11/2021
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	11/15/2004
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	11/15/2004
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	11/15/2004
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	11/15/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/11/2021	10/25/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	12/8/1997	3/1/2001
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	10/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	10/25/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/1/2011	6/8/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/1/2011	6/8/2015
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/8/2023	1/10/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	7/27/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	10/25/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/16/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/3/2022
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	12/24/2014
Active	Coventry Health and Life Insurance Company	301771	Agent - Life	12/24/2014
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2023	1/10/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	11/15/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	3/30/1995	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	11/15/2004
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	3/9/1993	5/27/1997
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/9/1993	5/27/1997
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2021	7/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/12/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/12/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2021	7/27/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/26/2022	1/16/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	10/27/1997	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	10/27/1997	2/10/2004
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/23/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/23/2023	5/15/2024