DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Tracey	DOIID	1287586	NAIC NPN	20608140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/25/2023		5/31/2025
Active	Non Resident	Agent	Health	7/25/2023		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/10/2024	2/7/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/10/2024	2/7/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	10/16/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	10/16/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/15/2023	5/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	10/24/2024
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	10/24/2024