DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hall, Tracy	DOIID	1036552	NAIC NPN	19099716

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/10/2020	1/31/2021
Inactive	Resident	Agent	Health	7/26/2019	1/31/2021
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/19/2019	2/22/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	1/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/14/2020	1/31/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/22/2019	2/2/2021
Inactive	Humana Insurance Company	301104	Agent - Health	1/22/2020	1/31/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/5/2020	1/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/5/2020	1/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	5-Star Benefits Services LLC	1076166	Agent - Health	2/28/2020	1/31/2021
Inactive	5-Star Benefits Services LLC	1076166	Agent - Life	3/14/2020	1/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/17/2020	1/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/17/2020	1/31/2021
Inactive	Rbl Services	1058184	Agent - Health	9/27/2019	1/31/2021