DEPARTMENT OF INSURANCE

Affiliations

Name	Jacks, Courtney Anne	DOIID	1035896	NAIC NPN	19056370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/9/2019	9/30/2027
Active	Non Resident	Agent	Life	4/9/2019	9/30/2027
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/2/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021	11/13/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/15/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/15/2019	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2021	11/13/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/25/2024
Inactive	Elixir Insurance Company	696846	Agent - Health	9/13/2019	10/1/2020
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	1/7/2025
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/7/2025
Inactive	Humana Insurance Company	301104	Agent - Health	5/17/2019	12/12/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/14/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/18/2021	12/22/2023
Inactive	Omaha Health Insurance Company	301296	Agent - Health	11/15/2019	12/27/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/11/2019
Active	Tier One Insurance Company	301056	Agent - Health	10/4/2025
Active	Tier One Insurance Company	301056	Agent - Life	10/4/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/9/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/9/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/9/2019
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/30/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/25/2019

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	11/15/2019	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/15/2019	2/10/2025