DEPARTMENT OF INSURANCE

Affiliations

Name	Jansen, Ulrich	DOIID	959339	NAIC NPN	17084370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/4/2017	4/30/2027
Active	Non Resident	Agent	Health	7/4/2017	4/30/2027
* 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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	10/5/2017	10/10/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/25/2018	9/4/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/25/2018	9/4/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/6/2019	10/7/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	10/29/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021	10/29/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/6/2019	10/7/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/6/2019	10/7/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/10/2021	10/1/2026
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/6/2018	1/8/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/10/2021	10/1/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	10/7/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/25/2018	9/4/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/7/2024	10/1/2026
Inactive	Federal Insurance Company	301144	Agent - Health	10/12/2017	10/10/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/22/2021	10/1/2026
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/3/2021	10/1/2026
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/16/2024	10/1/2026
Inactive	Humana Insurance Company	301104	Agent - Health	10/10/2021	10/1/2026
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/18/2021	10/1/2026
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/3/2021	10/1/2026
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	6/5/2018	2/6/2019
Inactive	Medico Insurance Company	301559	Agent - Health	9/19/2018	12/14/2018
Inactive	Medico Insurance Company	301559	Agent - Life	9/19/2018	12/14/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/11/2019	8/24/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	8/24/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/11/2019	8/24/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/11/2019	8/24/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/25/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/25/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/6/2019	10/7/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/6/2019	10/7/2021
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/9/2022	10/1/2026