DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Lakeisha Tiesha	DOIID	1016663	NAIC NPN	18239211

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/25/2018	10/31/2026
Active	Non Resident	Agent	Life	10/25/2018	10/31/2026
* 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	08/15/2026	10/31/2026

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	7/9/2024	9/19/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/9/2024	9/19/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/9/2024	9/19/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2024	4/14/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	12/10/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/5/2024	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/19/2020	12/10/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/19/2020	12/10/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/12/2021	5/15/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/26/2024	1/9/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/5/2024	4/14/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/8/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/17/2021	5/15/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/29/2018	4/16/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2018	4/16/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2024	5/6/2025
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2018	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/29/2018	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/29/2018	4/16/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/29/2021	5/15/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/29/2018	4/16/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/18/2019	9/19/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/26/2024	1/9/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/26/2024	1/9/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/1/2024	6/5/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/7/2023	7/30/2024

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	6/19/2020	12/10/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/19/2020	2/10/2025
Denied	Gohealth LLC	691445	Agent - Life
Inactive	Gohealth LLC	691445	Agent - Health	6/24/2024	1/17/2025