DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wiseman, Tracy Wiseman	DOIID	312666	NAIC NPN	7161439

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/31/1995	2/6/1998
Active	Non Resident	Agent	Health	1/15/2022		10/31/2025
* 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	08/15/2025	10/31/2025

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	11/25/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/25/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	11/25/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/10/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/10/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/10/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/8/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/10/2023
Active	SilverScript Insurance Company	663526	Agent - Health	11/25/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/8/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Evansville Inc.	401187	Administrator - Not Applicable	3/31/1995	2/6/1998
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/21/2016	10/31/2021
Active	Yocum Ins Agency LLC	868772	Agent - Health	7/10/2023