DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Siri, Jessica	DOIID	1165492	NAIC NPN	20022809

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/11/2021		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/4/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/19/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/2/2022	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	11/4/2021
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/5/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/28/2022	12/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Health	2/18/2025
Inactive	Trubridge Inc	717747	Agent - Health	2/15/2022	2/18/2025