DEPARTMENT OF INSURANCE

Affiliations

Name	Jordan, Glen R	DOIID	333125	NAIC NPN	5937711

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	2/15/1994	2/28/2026
Active	Resident	Agent	Property	4/24/2001	2/28/2026
Active	Resident	Agent	Casualty	4/24/2001	2/28/2026
Active	Resident	Agent	Health	2/15/1994	2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/11/2002	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/11/2002	11/21/2007
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	4/24/2001	8/10/2009
Inactive	Allstate Indemnity Company	300778	Agent - Property	4/24/2001	8/10/2009
Inactive	Allstate Insurance Company	300773	Agent - Casualty	4/24/2001	8/10/2009
Inactive	Allstate Insurance Company	300773	Agent - Property	4/24/2001	8/10/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	8/10/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	8/10/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/15/2016	4/13/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/15/2016	4/13/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	6/30/2004	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	6/30/2004	10/25/2012
Active	American Heritage Life Insurance Company	300272	Agent - Health	3/4/2013
Active	American Heritage Life Insurance Company	300272	Agent - Life	3/4/2013
Inactive	American Network Insurance Company	301156	Agent - Health	5/3/1996	2/25/2002
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	12/6/2004
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/27/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/26/2004	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/26/2004	4/15/2025
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/19/2006	1/26/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/19/2006	1/26/2009
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	8/23/2011	3/2/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	8/23/2011	3/2/2020
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	2/15/1994	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	2/15/1994	12/31/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/1/1998	8/9/2008
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/26/2004	6/24/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/13/2005	7/23/2025
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/13/2005	7/23/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
Inactive	C.M. Life Insurance Company	301335	Agent - Health	1/21/2005	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	1/21/2005	11/12/2012
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	2/28/1997	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	2/28/1997	4/1/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	8/8/1994	12/31/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	8/8/1994	12/31/1998
Inactive	Columbian Life Insurance Company	300810	Agent - Health	6/2/2004	7/2/2013
Inactive	Columbian Life Insurance Company	300810	Agent - Life	6/2/2004	8/26/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/27/2021
Inactive	Conseco Health Insurance Company	301725	Agent - Health	3/16/2001	4/7/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	3/16/2001	4/7/2003
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	1/23/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	1/23/2007
Inactive	Continental General Insurance Company	300691	Agent - Health	10/27/2003	11/5/2003
Inactive	Continental General Insurance Company	300691	Agent - Life	10/27/2003	11/5/2003
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/13/2005
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/4/2004	12/29/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Health	12/1/2000	8/10/2009
Inactive	Everlake Life Insurance Company	300873	Agent - Life	12/1/2000	8/10/2009
Active	FB Insurance Company (The)	301763	Agent - Casualty	12/22/2004
Active	FB Insurance Company (The)	301763	Agent - Health	12/22/2004
Active	FB Insurance Company (The)	301763	Agent - Property	12/22/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/3/2008	7/26/2016
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/3/2001	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/3/2001	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/13/1995	10/31/1996
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/13/1995	10/31/1996
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/13/2005	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/13/2005	12/20/2023
Inactive	Forethought Life Insurance Company	301407	Agent - Life	11/19/2009	11/27/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/18/2003	12/4/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/18/2003	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Active	Gerber Life Insurance Company	300529	Agent - Health	9/25/2019
Active	Gerber Life Insurance Company	300529	Agent - Life	9/25/2019
Active	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	3/11/2018
Active	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	3/11/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/7/2003	12/14/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/7/2003	12/14/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/13/2005	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/13/2005	10/5/2021
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/16/2011	11/8/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/16/2011	11/8/2013
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/9/1998	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/9/1998	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	5/15/1998	5/24/1999
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	5/15/1998	5/24/1999
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/16/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/16/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	4/23/2014
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	4/23/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/22/2004
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/22/2004
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/22/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	10/29/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	10/29/2001
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	8/13/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	8/13/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/19/1997	8/10/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/19/1997	8/10/2009
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	10/10/2008	3/23/2010
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	10/10/2008	3/23/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	3/20/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	3/20/2009
Inactive	Manhattan Life Insurance Company	300880	Agent - Life	12/30/1997	10/26/1998
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	1/21/2005	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	1/21/2005	11/12/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/27/2005	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/27/2005	11/26/2009
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	11/13/1996	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	11/13/1996	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Health	2/4/2003	8/24/2006
Inactive	Midland National Life Insurance Company	300923	Agent - Life	2/4/2003	8/24/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	2/20/1997	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	2/20/1997	3/31/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/21/1998	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/21/1998	8/24/2000
Inactive	Pioneer American Insurance Company	301268	Agent - Health	10/4/2007	12/4/2008
Inactive	Pioneer American Insurance Company	301268	Agent - Life	10/4/2007	12/4/2008
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	9/19/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	9/19/1997	10/23/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/16/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/16/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/24/1996	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/24/1996	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/13/2004	12/4/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/3/2015	11/25/2020
Inactive	Prudential Insurance Company of America	300784	Agent - Health	8/13/2004	12/5/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Life	8/13/2004	12/5/2006
Inactive	Settlers Life Insurance Company	300189	Agent - Health	11/29/1995	9/25/2000
Inactive	Settlers Life Insurance Company	300189	Agent - Life	11/29/1995	12/31/1998
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	6/2/2000	6/25/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	6/2/2000	6/25/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/22/2004
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/22/2004
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	1/14/1998	5/2/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	1/14/1998	5/2/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/12/2000	1/15/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	7/12/2000	1/15/2003
Inactive	State Life Insurance Company	301497	Agent - Health	2/12/2004	1/31/2007
Inactive	State Life Insurance Company	301497	Agent - Life	2/12/2004	1/31/2007
Inactive	Symetra Life Insurance Company	301691	Agent - Health	2/11/1997	12/17/2013
Inactive	Symetra Life Insurance Company	301691	Agent - Life	2/11/1997	12/17/2013
Inactive	Transamerica Assurance Company	300893	Agent - Health	9/24/2001	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	9/24/2001	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/6/2004	3/10/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/6/2004	3/10/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/4/2001	9/24/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/4/2001	9/24/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	4/13/1998	7/30/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/13/1998	7/30/2007
Inactive	United Home Life Insurance Company	300421	Agent - Life	3/23/2004	6/18/2008
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	8/19/1998	5/22/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	8/19/1998	5/22/2001
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/15/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/15/1995	3/31/1997
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	5/19/2005	11/15/2011
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Health	6/16/2000	10/25/2005
Inactive	Unity Mutual Life Insurance Company	300100	Agent - Life	6/16/2000	10/25/2005
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/3/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/3/2011	6/23/2017
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/29/2004	11/21/2007
Inactive		300277	Agent - Health	5/6/1998	1/1/2007
Inactive		300277	Agent - Life	5/6/1998	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/20/2004	2/28/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/20/2004	2/28/2005
Inactive	B.R.& W. Insurance Corp	399500	Agent - Life	3/30/2001	3/31/2023
Inactive	B.R.& W. Insurance Corp	399500	Agent - Health	3/30/2001	3/31/2023
Inactive	Clarke Management Group LLC	399650	Agent - Life	6/13/1997	2/18/2003
Inactive	Clarke Management Group LLC	399650	Agent - Health	6/13/1997	2/18/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	10/27/2005	5/3/2017
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	Jordan Insurance Agency Inc.	848786	Agent - Life	8/19/2014
Active	Jordan Insurance Agency Inc.	848786	Agent - Health	8/19/2014
Active	Jordan Insurance Agency Inc.	848786	Agent - Property	8/19/2014
Active	Jordan Insurance Agency Inc.	848786	Agent - Casualty	8/19/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/22/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/22/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/22/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/22/2004
Active	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/14/2016
Active	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/14/2016