DEPARTMENT OF INSURANCE

Affiliations

Name	Tuckey, Jim A	DOIID	319721	NAIC NPN	353483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	6/30/2016
Inactive	Non Resident	Agent	Health	7/21/1976	6/30/2016
Inactive	Non Resident	Agent	Life	7/21/1976	6/30/2016
Inactive	Non Resident	Agent	Health Maintenance Organization	10/20/1989	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	3/1/2001	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	4/13/2000	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	10/6/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/20/2002	10/6/2011
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/20/2002	10/6/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/9/1999	6/20/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/9/1999	6/20/2005
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	10/20/1989	3/1/2001
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	2/19/1998	9/5/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/19/1998	9/5/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/29/2005	6/14/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/29/2005	6/14/2007
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/1/2002	11/29/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/27/2008	5/1/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/27/2008	12/1/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/27/2008	12/1/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	5/1/2014
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/26/1998	7/14/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/29/2005	6/14/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/29/2005	6/14/2007
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/1/2001	5/1/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	7/21/1995	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/4/1994	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	12/2/1993	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	12/2/1993	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/27/2008	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/27/2008	5/1/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/27/2008	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/27/2008	5/13/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/12/1994	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/12/1994	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	5/1/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/26/1994	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/26/1994	12/18/2012
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/16/1994	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/16/1994	12/11/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/11/1997	6/30/2016
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/11/1997	6/30/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/14/1998	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/14/1998	10/24/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/26/1985	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/23/2014	2/1/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	12/23/2014	2/1/2016
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	12/15/1995	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/23/2014	2/1/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/23/2014	2/1/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	12/23/2014	2/1/2016
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/26/1999	9/27/2001
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/26/1999	9/27/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/21/1999	12/28/2005
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/21/1999	12/28/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/21/2002	6/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/21/2002	6/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/21/2002	6/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/31/1999	5/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/31/1999	5/10/2001
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	11/8/2002	6/4/2014
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	11/8/2002	6/4/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/10/2013	6/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/10/2013	6/30/2016