DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Jacqlyn	DOIID	1201048	NAIC NPN	20282115

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/24/2022		2/28/2026
* 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	12/15/2025	02/28/2026

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	4/29/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/29/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/29/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/25/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/25/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/25/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/8/2022	12/12/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/13/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/25/2022
Active	Humana Insurance Company	301104	Agent - Health	12/5/2023
Active	SilverScript Insurance Company	663526	Agent - Health	4/29/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/2/2022

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	2/13/2024