DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Atkinson, Jeremy Scott	DOIID	619989	NAIC NPN	8226455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/17/2005	3/2/2006
Inactive	Non Resident	Agent	Health	11/17/2005	3/2/2006
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/6/2005	3/2/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CIGI Direct Insurance Services, Inc	510807	Agent - Health
Inactive	CIGI Direct Insurance Services, Inc	510807	Agent - Life	12/9/2005	3/2/2006