DEPARTMENT OF INSURANCE

Affiliations

Name	Hackett, Mary E	DOIID	368016	NAIC NPN	1762977

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	2/3/1998	3/1/2001
Inactive	Non Resident	Agent	Life	11/11/2008	10/31/2017
Inactive	Non Resident	Agent	Health	11/11/2008	10/31/2017
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/10/2013	7/16/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/10/2013	7/16/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/10/2013	7/16/2014
Inactive	American Continental Insurance Company	643130	Agent - Health	10/7/2013	11/12/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/15/2013	7/7/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/23/2013	12/5/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/7/2013	11/10/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/23/2013	12/5/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/14/2013	10/31/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/13/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/23/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/23/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/23/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/23/2013	12/5/2014
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/23/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/23/2013	12/5/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/27/2010	11/4/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/14/2015	10/2/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	10/2/2017
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/24/2008	10/18/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/14/2015	12/19/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health Maintenance Organization	2/3/1998	3/1/2001
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/14/2015	10/2/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/15/2013	7/7/2014
Inactive	Retiremed IQ, LLC	682484	Agent - Health	10/2/2013	10/21/2014