DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jean -Baptiste, Sherly	DOIID	979964	NAIC NPN	15519978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/21/2017	9/30/2020
Inactive	Non Resident	Agent	Life	12/21/2017	9/30/2020
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	1/29/2018	9/28/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/29/2018	9/28/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/26/2018	9/28/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/26/2018	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	1/29/2018	7/13/2020
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	1/29/2018	7/13/2020