DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Briscoe, Jacqueline Renae	DOIID	1274679	NAIC NPN	18477392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/29/2024		12/31/2024
Active	Non Resident	Agent	Personal Lines	5/16/2023		12/31/2024
Active	Non Resident	Agent	Health	2/29/2024		12/31/2024
* 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	10/15/2024	12/31/2024

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	3/5/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/5/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	3/5/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/3/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/3/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/29/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/3/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	5/31/2023	4/26/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	5/31/2023	4/26/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/5/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/29/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Personal Lines	5/31/2023	4/25/2024