DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Buckalew, Jennifer Kellie	DOIID	1060284	NAIC NPN	18718459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/18/2021		1/31/2025
Active	Non Resident	Agent	Health	10/10/2019		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/5/2021	7/24/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/5/2021	7/24/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/5/2021	7/24/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	10/29/2019	12/14/2020
Inactive	Federal Insurance Company	301144	Agent - Health	10/15/2019	10/26/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/30/2019	8/24/2023
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/8/2021	1/25/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	11/8/2021	8/24/2023

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	11/12/2019	4/21/2022