DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Tracy L	DOIID	1015882	NAIC NPN	18943360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/19/2018		1/31/2027
Active	Non Resident	Agent	Life	10/19/2018		1/31/2027
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	10/23/2018	4/22/2019
Inactive	AAA Life Insurance Company	300287	Agent - Life	10/23/2018	4/22/2019
Inactive	Federal Insurance Company	301144	Agent - Health	12/13/2019	11/17/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/12/2020	2/1/2026
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/12/2020	2/1/2026
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/8/2021	10/31/2024
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	1/13/2020
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	12/24/2020
Active	National Health Insurance Company	300554	Agent - Health	5/15/2020
Active	National Health Insurance Company	300554	Agent - Life	5/15/2020
Inactive	Physicians Life Insurance Company	300924	Agent - Life	11/12/2024	4/11/2025
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	11/12/2024	4/11/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/24/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/24/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/10/2020	4/28/2022