DEPARTMENT OF INSURANCE
Affiliations
NameTretter, Jacquelyn DouglassDOIID325082NAIC NPN7170218
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife11/18/19932/28/2006 
InactiveResidentAgentHealth Maintenance Organization12/31/19983/1/2001 
InactiveResidentAgentHealth11/18/19932/28/2006 
InactiveResidentAgentPrepaid Dental Plan12/9/19983/1/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/5/20022/28/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/5/20022/28/2006
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/18/19933/18/2003
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/18/19933/18/2003
InactiveAnthem Life Insurance Company301209Agent - Health9/7/199812/1/2005
InactiveAnthem Life Insurance Company301209Agent - Life9/7/199812/1/2005
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/20012/28/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/20012/28/2006
InactiveFirst Colony Life Insurance Company301179Agent - Life8/21/19982/28/2006
InactiveGuardian Life Insurance Company of America301316Agent - Health10/6/19982/28/2006
InactiveGuardian Life Insurance Company of America301316Agent - Life10/6/19982/28/2006
InactiveHealth Resources Inc.301210Agent - Health3/1/20013/31/2003
InactiveHealth Resources Inc.301210Agent - Prepaid Dental Plan12/9/19983/1/2001
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20012/28/2006
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization12/31/19983/1/2001
InactiveHumana Insurance Company301104Agent - Health12/11/19982/28/2006
InactiveHumana Insurance Company301104Agent - Life12/11/19982/28/2006
InactiveJohn Alden Life Insurance Company300573Agent - Health12/21/200011/7/2002
InactiveJohn Alden Life Insurance Company300573Agent - Life12/21/200011/7/2002
InactiveJohn Hancock Life Insurance Company300821Agent - Health2/20/20032/28/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Life2/20/20032/28/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life2/20/20032/28/2006
InactivePrincipal Life Insurance Company300129Agent - Health12/15/19982/28/2006
InactivePrincipal Life Insurance Company300129Agent - Life12/15/19982/28/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/4/200112/11/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/4/200112/11/2002
InactiveTime Insurance Company300683Agent - Health12/4/199811/20/2002
InactiveTime Insurance Company300683Agent - Life12/4/199811/20/2002
InactiveUNUM Life Insurance Company of America300817Agent - Health9/4/200112/11/2002
InactiveUNUM Life Insurance Company of America300817Agent - Life9/4/200112/11/2002
Inactive300277Agent - Health11/4/19982/28/2006
Inactive300277Agent - Life11/4/19982/28/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life8/6/19982/28/2006
InactiveArison Insurance Services, Inc.401001Agent - Health8/6/19982/28/2006

© Commonwealth of Kentucky. All rights reserved.