DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Culver, Jaclyn	DOIID	1152513	NAIC NPN	19989978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/18/2021		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/28/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/28/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	3/28/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/23/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/23/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	10/7/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/23/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/13/2021	7/1/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/16/2024	7/3/2024
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	8/19/2021	10/1/2021
Active	SilverScript Insurance Company	663526	Agent - Health	3/28/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/7/2022	10/7/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/7/2022	10/7/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/19/2021	10/1/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/7/2022	10/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/28/2023	5/15/2024