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	9/30/2025
Active	Non Resident	Agent	Life	4/9/2019	9/30/2025
* 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	07/15/2025	09/30/2025

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
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
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
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2021
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	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