DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walker, Jacquelyn Elizabeth	DOIID	1110764	NAIC NPN	16804465

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/16/2020		1/31/2027
Active	Non Resident	Agent	Casualty	8/12/2021		1/31/2027
Active	Non Resident	Agent	Property	8/12/2021		1/31/2027
* 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	12/31/2024	12/31/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/26/2020	3/17/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/26/2020	3/17/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/26/2020	3/17/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/31/2021	11/10/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/31/2021	11/10/2021
Inactive	Humana Insurance Company	301104	Agent - Health	12/7/2020	6/16/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	8/26/2021	11/8/2021
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	8/26/2021	11/8/2021
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	9/8/2021	11/5/2021
Inactive	QBE Insurance Corporation	300515	Agent - Property	9/8/2021	11/5/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/26/2020	3/17/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/7/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/7/2020	12/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goose Insurance Services Inc.	1147118	Agent - Health	1/24/2022	6/16/2022
Denied	Goose Insurance Services Inc.	1147118	Agent - Casualty
Denied	Goose Insurance Services Inc.	1147118	Agent - Property
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	8/31/2021	11/10/2021
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	8/31/2021	11/10/2021