DEPARTMENT OF INSURANCE

Affiliations

Name	Tackett, James A	DOIID	361763	NAIC NPN	2781021

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Variable Life and Variable Annuities	4/11/2007		11/30/2024
Active	Resident	Agent	Health	11/2/1995		11/30/2024
Active	Resident	Agent	Life	11/2/1995		11/30/2024
Inactive	Resident	Agent	Health Maintenance Organization	5/23/1996	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/8/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/30/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/8/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/8/2020
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/25/2007	11/21/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/25/2007	11/21/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	4/25/2007	11/21/2009
Inactive	American Continental Insurance Company	643130	Agent - Life	12/27/2017	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/29/1996	10/17/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/29/1996	10/17/2022
Active	American General Life Insurance Company	301585	Agent - Health	3/27/2015
Active	American General Life Insurance Company	301585	Agent - Life	3/27/2015
Active	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	3/27/2015
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	2/8/2005	5/4/2006
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/31/2007	8/20/2009
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	10/31/2007	8/20/2009
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	11/26/2013	12/18/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	11/26/2013	12/18/2014
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/1/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	1/16/2001
Active	Anthem Life Insurance Company	301209	Agent - Life	1/16/2001
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/10/1999	12/19/2000
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/10/1999	12/19/2000
Inactive	Athene Annuity and Life Company	301893	Agent - Life	12/15/2011	8/20/2015
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	8/5/1996	10/7/2010
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	2/19/2014	12/23/2016
Inactive	Augustar Life Insurance Company	301816	Agent - Health	8/5/1996	12/29/2000
Inactive	Augustar Life Insurance Company	301816	Agent - Life	8/29/2001	6/9/2010
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/19/2015	9/5/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	11/19/2002	3/31/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	5/24/1996	3/31/1997
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/26/2010	11/9/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/26/2010	11/9/2015
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	1/26/2018
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	11/17/2004
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	5/23/1996	3/1/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/10/2005	12/13/2016
Active	CompBenefits Insurance Company	301864	Agent - Health	7/23/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/12/2009	7/2/2013
Inactive	CompDent Corporation	301387	Agent - Health	1/16/2003	12/23/2004
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Inactive	Conseco Health Insurance Company	301725	Agent - Health	4/9/2001	5/28/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	4/9/2001	5/28/2004
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/27/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/5/2008	10/8/2009
Active	Dental Concern Inc. (The)	301641	Agent - Health	12/22/2016
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/6/2009	3/31/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/22/2008	10/8/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/13/2015	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/13/2015	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/3/2011	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/3/2015	12/14/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/4/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/4/2005	12/13/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Health	7/26/2010
Active	Guardian Life Insurance Company of America	301316	Agent - Life	7/26/2010
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/3/2019
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/8/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/21/1998	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	10/22/1996	7/14/1997
Active	Humana Insurance Company	301104	Agent - Health	4/21/1998
Inactive	Humana Insurance Company	300118	Agent - Life	10/22/1996	7/14/1997
Active	Humana Insurance Company	301104	Agent - Life	4/21/1998
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	8/1/2007
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	8/1/2007
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/23/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/23/2012	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/30/1998	11/9/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/30/1998	11/9/2015
Inactive	Integrity Life Insurance Company	301687	Agent - Life	2/18/2002	12/9/2008
Inactive	Investors Life Insurance Company of North America	301660	Agent - Life	1/6/2006	2/21/2008
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	2/15/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	2/15/2005	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	2/15/2005	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	2/15/2005	4/2/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/10/1996	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/10/1996	3/31/1997
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	6/3/1996	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/7/2018	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/7/2018	8/9/2018
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	12/30/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	12/30/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	11/9/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	11/9/2018
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/23/2011	12/1/2016
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	11/5/2012	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/4/2001	11/26/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/4/2001	11/26/2018
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Health	11/27/2000	1/19/2005
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	11/27/2000	1/19/2005
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/29/2010	12/26/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/20/2003	7/14/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	10/20/2003	7/14/2005
Inactive	New York Life Insurance Company	300431	Agent - Health	11/2/1995	4/29/1996
Inactive	New York Life Insurance Company	300431	Agent - Life	11/2/1995	4/29/1996
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	11/2/1995	5/29/1996
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	11/2/1995	5/29/1996
Inactive	Omaha Insurance Company	751908	Agent - Health	5/16/2012	8/8/2018
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	6/23/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	6/23/1997	10/23/2002
Active	Principal Life Insurance Company	300129	Agent - Health	10/6/2006
Active	Principal Life Insurance Company	300129	Agent - Life	10/6/2006
Active	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	8/20/2008
Active	Principal National Life Insurance Company	301926	Agent - Life	6/4/2013
Inactive	Protective Life Insurance Company	300638	Agent - Health	12/15/2011	11/23/2013
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/15/2011	11/23/2013
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	12/15/2011	11/23/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/5/2007	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/5/2007	12/23/2014
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	4/27/2001	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	4/27/2001	7/18/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	12/3/2007	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	12/3/2007	3/31/2009
Active	SilverScript Insurance Company	663526	Agent - Health	4/12/2016
Inactive	Standard Insurance Company	300185	Agent - Health	3/7/2008	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	3/7/2008	12/5/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/1/2012	8/9/2016
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/1/2012	8/9/2016
Inactive	Time Insurance Company	300683	Agent - Health	3/30/2001	11/20/2002
Inactive	Time Insurance Company	300683	Agent - Life	3/30/2001	11/20/2002
Inactive	Transamerica Assurance Company	300893	Agent - Health	11/12/1997	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	11/12/1997	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/4/2003	12/16/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/4/2003	12/16/2019
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/13/1996	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/13/1996	10/1/2008
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/4/2000	9/16/2002
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/4/2000	9/16/2002
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	5/11/1999	8/12/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/16/2004	10/19/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Health	7/29/2009	7/1/2014
Inactive	Union Central Life Insurance Company	300307	Agent - Life	7/29/2009	7/1/2014
Inactive	Union Security Insurance Company	301844	Agent - Health	6/25/1998	3/1/2004
Inactive	Union Security Insurance Company	301844	Agent - Life	6/25/1998	3/1/2004
Inactive	United World Life Insurance Company	300532	Agent - Health	11/14/2022	6/24/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/31/2013	11/24/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/31/2013	11/24/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/1999	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/23/1999	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	2/19/1999	3/1/2001
Inactive	West Coast Life Insurance Company	301607	Agent - Health	6/17/2010	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/17/2010	11/16/2011
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	12/8/1997	12/28/1998
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	12/8/1997	12/28/1998
Inactive		300277	Agent - Life	10/6/2000	3/17/2003

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 Lexington Inc.	401285	Agent - Life	5/9/1996	12/10/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	5/9/1996	12/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/25/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/1999	6/23/2008
Inactive	Central Kentucky Financial Group [The]	399618	Agent - Life	8/17/1999	3/31/2015
Inactive	Central Kentucky Financial Group [The]	399618	Agent - Health	8/17/1999	3/31/2015
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/26/2003	1/14/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008
Active	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008
Inactive	Medlink Inc	400721	Agent - Life	3/1/2004	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	3/1/2004	3/31/2024
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014
Active	WEH Insurance Agency, Inc.	505435	Agent - Life	1/20/2005
Active	WEH Insurance Agency, Inc.	505435	Agent - Health	1/20/2005