DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Jacqueline	DOIID	1350232	NAIC NPN	21242252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/15/2024	1/31/2026
Active	Non Resident	Agent	Life	7/15/2024	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Accendo Insurance Company	300312	Agent - Life	7/19/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/8/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/19/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/8/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/8/2024
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/14/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/15/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/15/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	1/17/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/15/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/15/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/19/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/19/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	9/9/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	9/9/2024
Active	HealthSpring Life and Health Insurance Company, Inc.	684899	Agent - Health	4/20/2025
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	4/20/2025
Active	Humana Insurance Company	301104	Agent - Health	11/4/2024
Active	Medco Containment Life Insurance Company	301557	Agent - Health	4/20/2025
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	5/2/2025
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/9/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/8/2024
Active	Tier One Insurance Company	301056	Agent - Health	10/8/2024
Active	Tier One Insurance Company	301056	Agent - Life	10/8/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/15/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	7/19/2024
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	7/19/2024