DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Courtney, Jack	DOIID	1203330	NAIC NPN	19895414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/5/2022		3/31/2025
* 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	01/15/2025	03/31/2025

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	5/9/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/9/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	5/9/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/17/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/17/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/15/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/17/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/7/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/9/2022
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	1/19/2024