DEPARTMENT OF INSURANCE

Affiliations

Name	MediGap Life, LLC	DOIID	993791	NAIC NPN	18126904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/9/2018	3/31/2026
Active	Non Resident	Agent	Life	5/9/2018	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	11/13/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/26/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/13/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/26/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/26/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	11/13/2020	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	9/23/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/17/2018	4/8/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/18/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/7/2021	4/3/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/10/2021	4/3/2023
Inactive	Clear Spring Health Insurance Company	301686	Agent - Health	10/10/2022	12/19/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/13/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/17/2018	4/29/2019
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/11/2024
Active	Gerber Life Insurance Company	300529	Agent - Health	5/6/2025
Active	Gerber Life Insurance Company	300529	Agent - Life	5/6/2025
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	1/23/2025
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	1/23/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	3/26/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	3/26/2025
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/26/2024
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/26/2024
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	10/20/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/17/2018	4/8/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/8/2018	4/8/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/17/2018	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2018	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	6/8/2018	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/17/2018	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/17/2018	4/29/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/26/2023	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/17/2018	4/8/2020
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	6/16/2023	12/21/2023
Active	Loyal American Life Insurance Company	301172	Agent - Health	7/7/2025
Active	Medco Containment Life Insurance Company	301557	Agent - Health	2/10/2025
Active	North American Company for Life and Health Insurance	300291	Agent - Life	5/12/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/26/2022
Active	Tier One Insurance Company	301056	Agent - Health	9/28/2021
Active	Tier One Insurance Company	301056	Agent - Life	1/24/2025
Active	United American Insurance Company	300910	Agent - Health	1/23/2025
Active	United American Insurance Company	300910	Agent - Life	1/23/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/11/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/11/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/11/2019
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/10/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Jaffy, Brett Ira	930769	Agent - Health	5/9/2018
Active	Jaffy, Brett Ira	930769	Agent - Life	5/9/2018