DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Guillman, Jordan	DOIID	828230	NAIC NPN	17117863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/22/2013	4/30/2025
Inactive	Non Resident	Agent	Life	11/22/2013	4/30/2025
* 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	American General Life Insurance Company	301585	Agent - Health	12/2/2013	3/27/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	12/2/2013	3/27/2018
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/23/2014	4/30/2025
Inactive	New York Life Insurance Company	300431	Agent - Health	11/26/2013	5/25/2017
Inactive	New York Life Insurance Company	300431	Agent - Life	11/26/2013	5/25/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/26/2013	4/30/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/26/2013	4/30/2025
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/2/2013	3/27/2018
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/2/2013	3/27/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/9/2014	4/30/2025
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/9/2014	4/30/2025