DEPARTMENT OF INSURANCE

Affiliations

Name	Jaworski, James J	DOIID	779406	NAIC NPN	10658337

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/21/2012	6/30/2027
Active	Non Resident	Agent	Health	4/14/2012	6/30/2027
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/24/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/24/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	5/24/2021
Active	Aetna Life Insurance Company	301140	Agent - Life	5/24/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/6/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/9/2012	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/9/2012	4/15/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	2/11/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/26/2013	9/3/2013
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2013	9/3/2013
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	8/19/2016	6/20/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	8/19/2016	6/20/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/6/2013	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	2/26/2013	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/26/2013	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/26/2013	9/3/2013
Inactive	Lumico Life Insurance Company	300354	Agent - Health	11/30/2020	1/23/2025
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	6/10/2014	12/4/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	6/10/2014	12/4/2020
Inactive	Medico Insurance Company	301559	Agent - Health	4/1/2013	9/4/2014
Inactive	Medico Insurance Company	301559	Agent - Life	4/1/2013	9/4/2014
Active	SilverScript Insurance Company	663526	Agent - Health	4/15/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/23/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	5/9/2012
Active	Designated Agent Company Inc.	681257	Agent - Life	5/9/2012