DEPARTMENT OF INSURANCE
Affiliations
NamePrime, Lacey DOIID1147147NAIC NPN19997819
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/26/2021 1/31/2026
ActiveNon ResidentAgentLife7/26/2021 1/31/2026
* 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
Agent11/15/202501/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE Property and Casualty Insurance Company300520Agent - Health12/28/20234/5/2025
ActiveAccendo Insurance Company300312Agent - Health10/26/2021 
ActiveAccendo Insurance Company300312Agent - Life9/20/2021 
ActiveAetna Health Inc. (PA)660717Agent - Health8/16/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health9/20/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/16/2021 
ActiveAetna Life Insurance Company301140Agent - Health8/16/2021 
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/19/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/26/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/2021 
ActiveArcadian Health Plan, Inc.728196Agent - Health2/2/2022 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health8/17/20211/6/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life8/17/20211/6/2025
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/20/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life9/20/2021 
InactiveElips Life Insurance Company301087Agent - Health4/21/20223/3/2023
ActiveGolden Rule Insurance Company301943Agent - Health2/11/2025 
ActiveGolden Rule Insurance Company301943Agent - Life2/11/2025 
ActiveHumana Insurance Company301104Agent - Health10/18/2024 
ActiveHumana Medical Plan, Inc.801568Agent - Health3/24/2022 
InactiveLumico Life Insurance Company300354Agent - Health10/29/20211/13/2023
ActiveSilverScript Insurance Company663526Agent - Health8/16/2021 
ActiveTier One Insurance Company301056Agent - Health12/16/2024 
ActiveTier One Insurance Company301056Agent - Life12/16/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/4/2021 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/4/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/4/202112/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/4/2021 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/12/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/24/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveSmart Match Insurance Agency LLC829381Agent - Life8/17/2021 
ActiveSmart Match Insurance Agency LLC829381Agent - Health7/26/2021 

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