DEPARTMENT OF INSURANCE
Affiliations
NameJackson-Banks, La Quarius DOIID1091766NAIC NPN17630091
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/1/2020 2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202402/28/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health5/2/2024 
InactiveAetna Health of Ohio Inc.1065035Agent - Health6/29/20224/27/2024
ActiveAetna Life Insurance Company301140Agent - Health5/2/2024 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/26/2022 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/26/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health5/26/2022 
ActiveArcadian Health Plan, Inc.728196Agent - Health6/28/2024 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health2/28/2024 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health5/26/2022 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/23/2024 
ActiveHumana Insurance Company301104Agent - Health10/17/2024 
ActiveSilverScript Insurance Company663526Agent - Health5/2/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/28/2024 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/6/202212/22/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/28/2024 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/2/20221/16/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/3/20201/16/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssurance IQ, LLC919554Agent - Health10/24/20225/15/2024

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