PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameStacy, Jerry KennethDOIID1095201NAIC NPN18947888
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/25/2020 9/30/2025
ActiveNon ResidentAgentLife8/25/2020 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health of Ohio Inc.1065035Agent - Health4/9/2025 
ActiveAetna Life Insurance Company301140Agent - Health4/9/2025 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/4/2025 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health2/4/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health2/4/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health2/4/2025 
InactiveFreedom Life Insurance Company of America300074Agent - Health8/27/20206/27/2023
InactiveFreedom Life Insurance Company of America300074Agent - Life8/27/20206/27/2023
InactiveManhattanLife Insurance and Annuity Company301795Agent - Health9/22/20214/10/2023
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health2/21/2025 
ActiveSilverScript Insurance Company663526Agent - Health4/9/2025 
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/4/2025 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/4/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUshealth Advisors Llc713288Agent - Life8/27/20206/27/2023
InactiveUshealth Advisors Llc713288Agent - Health8/27/20206/27/2023

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