DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Autman, Jackie	DOIID	1065812	NAIC NPN	17028334

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/19/2019		5/31/2025
Active	Non Resident	Agent	Life	11/19/2019		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	5/14/2023	4/5/2025
Active	American General Life Insurance Company	301585	Agent - Health	2/17/2023
Active	American General Life Insurance Company	301585	Agent - Life	2/17/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/12/2020	10/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/12/2020	10/31/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Health	11/26/2019	6/9/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Life	11/26/2019	6/9/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/19/2023
Active	Humana Insurance Company	301104	Agent - Health	11/3/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/24/2020	10/15/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/24/2020	10/15/2020
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/19/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/21/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/21/2020

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	6/12/2020	10/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/12/2020	11/3/2020
Inactive	Sutherland Global Services Inc	601788	Agent - Life	1/23/2020	6/9/2020
Active	Sutherland Global Services Inc	601788	Agent - Health	5/21/2020