DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nielson, Jeffrey Wayne	DOIID	783645	NAIC NPN	8971036

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/9/2012		8/31/2026
Active	Non Resident	Agent	Health	6/9/2012		8/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/15/2012	5/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/15/2012	5/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/15/2012	5/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gallagher Benefit Services Inc	525782	Agent - Life	3/5/2024	5/18/2024
Inactive	Gallagher Benefit Services Inc	525782	Agent - Health	3/5/2024	5/18/2024