DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fougere, Jacqueline	DOIID	1165833	NAIC NPN	20055823

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/12/2021		11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	11/13/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/13/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	11/13/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/16/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/16/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/16/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/16/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/2/2021
Active	SilverScript Insurance Company	663526	Agent - Health	11/13/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/31/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/31/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/12/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/31/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/12/2023

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	10/25/2023