DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Autman, Jackie	DOIID	1065812	NAIC NPN	17028334

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/19/2019		5/31/2027
Active	Non Resident	Agent	Life	11/19/2019		5/31/2027
* 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
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	5/14/2023	4/5/2025
Active	American General Life Insurance Company	301585	Agent - Health	2/17/2023
Active	American General Life Insurance Company	301585	Agent - Life	2/17/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/12/2020	10/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/12/2020	10/31/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Health	11/26/2019	6/9/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Life	11/26/2019	6/9/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/19/2023
Active	Humana Insurance Company	301104	Agent - Health	11/3/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/24/2020	10/15/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/24/2020	10/15/2020
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/19/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/21/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/21/2020

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	6/12/2020	10/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/12/2020	11/3/2020
Inactive	Sutherland Global Services Inc	601788	Agent - Life	1/23/2020	6/9/2020
Active	Sutherland Global Services Inc	601788	Agent - Health	5/21/2020