DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Jessica	DOIID	913273	NAIC NPN	17919282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/3/2016		11/30/2026
Active	Resident	Agent	Health	5/3/2016		11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	5/17/2016	7/20/2016
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	5/17/2016	7/20/2016
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/17/2016	7/20/2016
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/17/2016	7/20/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fidelity Insurance Agency Inc.	400221	Agent - Life
Denied	Fidelity Insurance Agency Inc.	400221	Agent - Health