DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tin, Jacqualyn Leal	DOIID	832544	NAIC NPN	17176104

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/17/2022	3/31/2024
Inactive	Non Resident	Agent	Casualty	1/29/2014	3/31/2016
Inactive	Non Resident	Agent	Property	1/29/2014	3/31/2016
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/22/2022	3/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/22/2022	3/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/22/2022	3/31/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/12/2023	3/31/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/12/2023	3/31/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/12/2023	3/31/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/31/2023	1/8/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/12/2023	3/31/2024
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/8/2022	12/28/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/22/2022	3/31/2024
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	2/5/2014	3/20/2014
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/5/2014	3/20/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/5/2014	3/20/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/8/2022	1/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/31/2023	1/8/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/19/2022	9/2/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/31/2023	1/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	8/3/2023	1/26/2024