DEPARTMENT OF INSURANCE
Affiliations
NameHarrison, Jeri SueDOIID371310NAIC NPN249984
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentPrepaid Dental Plan12/18/20003/1/2001 
InactiveResidentAgentHealth Maintenance Organization8/28/19913/1/2001 
Pending ReplacementResidentAgentLife10/1/1986 7/31/2024
Pending ReplacementResidentAgentHealth10/1/1986 7/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202407/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization3/3/19993/1/2001
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health12/31/2007 
Pending ReplacementAetna Life Insurance Company301140Agent - Health10/1/1999 
Pending ReplacementAetna Life Insurance Company301140Agent - Life10/1/1999 
InactiveAllianz Life Insurance Company of North America301791Agent - Health6/2/19974/8/2004
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/2/19974/8/2004
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/5/20058/5/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/5/20058/5/2022
InactiveAmerican Fidelity Assurance Company301004Agent - Health3/1/200312/22/2004
InactiveAmerican Fidelity Assurance Company301004Agent - Life3/1/200312/22/2004
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20121/8/2018
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20121/8/2018
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health9/14/200712/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life9/14/200712/31/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health3/24/20007/11/2016
InactiveAmerican Heritage Life Insurance Company300272Agent - Life3/24/20007/11/2016
InactiveAmerican United Life Insurance Company300498Agent - Health11/27/199611/21/2023
InactiveAmerican United Life Insurance Company300498Agent - Life11/27/199611/21/2023
InactiveAmeritas Life Insurance Corporation300126Agent - Health12/10/199811/27/2002
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/10/199811/27/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization5/12/19933/31/1997
InactiveAvemco Insurance Company300669Agent - Health1/22/20022/28/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200112/13/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200112/13/2011
Pending ReplacementCIGNA Dental Health of Kentucky, Inc.300904Agent - Health3/1/2001 
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Prepaid Dental Plan12/18/20003/1/2001
InactiveCIGNA Health & Life Insurance Company301783Agent - Health2/25/19984/9/2003
InactiveCIGNA Health & Life Insurance Company301783Agent - Life2/25/19984/9/2003
InactiveCompBenefits Dental, Inc.591692Agent - Health7/28/200912/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health7/28/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life7/28/20097/2/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health12/18/20006/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life12/18/20006/11/2014
InactiveDearborn Life Insurance Company300401Agent - Health10/31/20086/16/2023
InactiveDearborn Life Insurance Company300401Agent - Life10/31/20086/16/2023
InactiveDental Concern Inc. (The)301641Agent - Health12/27/20166/15/2018
InactiveDentiCare, Inc.300655Agent - Health4/12/200211/1/2005
InactiveEmpower Annuity Insurance Company of America300259Agent - Health6/10/19961/3/2012
InactiveEmpower Annuity Insurance Company of America300259Agent - Life6/10/199612/18/2014
InactiveFidelity Security Life Insurance Company300466Agent - Health3/12/201012/15/2022
InactiveFidelity Security Life Insurance Company300466Agent - Life3/12/201012/15/2022
InactiveFort Wayne Health & Casualty Insurance Company301572Agent - Health10/25/199912/22/2004
InactiveGeneral American Life Insurance Company300280Agent - Health12/6/19931/8/2001
InactiveGeneral American Life Insurance Company300280Agent - Life12/6/19931/8/2001
InactiveGolden Rule Insurance Company301943Agent - Health6/28/201112/13/2016
InactiveGolden Rule Insurance Company301943Agent - Life6/28/201112/14/2016
InactiveGuardian Life Insurance Company of America301316Agent - Health11/6/200012/6/2022
InactiveGuardian Life Insurance Company of America301316Agent - Life11/6/200012/6/2022
InactiveHCC Life Insurance Company301827Agent - Health6/16/201010/2/2012
InactiveHCC Life Insurance Company301827Agent - Life6/16/201010/2/2012
InactiveHM Life Insurance Company301408Agent - Health12/19/19952/7/2005
InactiveHM Life Insurance Company301408Agent - Life12/19/19952/7/2005
InactiveHartford Life Group Insurance Company301708Agent - Health11/8/200612/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life11/8/200612/31/2006
Pending ReplacementHartford Life and Accident Insurance Company300878Agent - Health4/7/2000 
Pending ReplacementHartford Life and Accident Insurance Company300878Agent - Life4/7/2000 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/1/200112/8/2015
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health Maintenance Organization8/21/19953/1/2001
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20016/15/2018
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization8/28/19913/1/2001
InactiveHumana Insurance Company301104Agent - Health4/12/199512/13/2022
InactiveHumana Insurance Company301104Agent - Life4/12/199512/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/14/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/14/20176/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health1/31/20062/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life1/31/20062/23/2012
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health12/21/19994/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life12/21/19994/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health12/1/20001/24/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life12/1/20001/24/2013
InactiveKanawha Insurance Company300127Agent - Health10/29/20154/25/2017
InactiveKanawha Insurance Company300127Agent - Life10/29/20154/25/2017
Pending ReplacementKansas City Life Insurance Company301444Agent - Health8/19/1998 
Pending ReplacementKansas City Life Insurance Company301444Agent - Life8/19/1998 
InactiveLafayette Life Insurance Company (The)301039Agent - Health8/25/20004/7/2004
InactiveLafayette Life Insurance Company (The)301039Agent - Life8/25/20004/7/2004
Pending ReplacementLife Insurance Company of North America300711Agent - Health12/22/1993 
Pending ReplacementLife Insurance Company of North America300711Agent - Life12/22/1993 
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Health4/2/2007 
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Life4/2/2007 
InactiveLincoln National Reassurance Company301919Agent - Health8/5/19991/6/2003
InactiveLincoln National Reassurance Company301919Agent - Life8/5/19991/6/2003
InactiveMEGA Life and Health Insurance Company (The)300751Agent - Health10/27/20034/13/2007
InactiveMEGA Life and Health Insurance Company (The)300751Agent - Life10/27/20034/13/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health4/1/199312/6/2016
InactiveMetropolitan Life Insurance Company301948Agent - Life4/1/199312/6/2016
InactiveMutual of Omaha Insurance Company301012Agent - Health10/14/19976/16/2008
InactivePacifiCare Life Assurance Company301082Agent - Health6/25/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/25/19987/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health3/1/20013/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health Maintenance Organization6/5/19973/1/2001
InactivePaul Revere Life Insurance Company300971Agent - Health9/26/199611/10/2004
InactivePaul Revere Life Insurance Company300971Agent - Life9/26/199611/10/2004
Pending ReplacementPrincipal Life Insurance Company300129Agent - Health4/25/2011 
Pending ReplacementPrincipal Life Insurance Company300129Agent - Life4/25/2011 
InactiveProfessional Insurance Company301281Agent - Health7/15/19997/31/1999
InactiveProfessional Insurance Company301281Agent - Life7/15/19997/31/1999
InactiveProtective Life Insurance Company300638Agent - Health11/4/199812/22/2003
InactiveProtective Life Insurance Company300638Agent - Life11/4/199812/22/2003
Pending ReplacementProvident Life and Accident Insurance Company301525Agent - Health7/10/2013 
Pending ReplacementProvident Life and Accident Insurance Company301525Agent - Life7/10/2013 
InactivePruco Life Insurance Company300954Agent - Health11/4/201012/23/2014
InactivePruco Life Insurance Company300954Agent - Life11/4/201012/23/2014
InactivePrudential Health Care Plan Inc.301342Agent - Health3/1/20015/21/2003
InactivePrudential Health Care Plan Inc.301342Agent - Health Maintenance Organization11/13/19973/1/2001
Pending ReplacementPrudential Insurance Company of America300784Agent - Health11/13/1997 
Pending ReplacementPrudential Insurance Company of America300784Agent - Life11/13/1997 
Pending ReplacementReliaStar Life Insurance Company301712Agent - Health3/29/2000 
Pending ReplacementReliaStar Life Insurance Company301712Agent - Life3/29/2000 
InactiveReliaStar Life Insurance Company of New York301018Agent - Health3/29/200011/9/2009
InactiveReliaStar Life Insurance Company of New York301018Agent - Life3/29/200011/9/2009
Pending ReplacementReliance Standard Life Insurance Company300584Agent - Health8/8/2002 
Pending ReplacementReliance Standard Life Insurance Company300584Agent - Life8/8/2002 
Pending ReplacementSecurian Life Insurance Company300757Agent - Health1/12/2009 
Pending ReplacementSecurian Life Insurance Company300757Agent - Life1/12/2009 
InactiveSecurity Life of Denver Insurance Company300648Agent - Health1/6/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life1/6/20119/29/2012
InactiveShenandoah Life Insurance Company300130Agent - Health2/3/19923/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life2/3/19923/31/2009
InactiveSun Life Assurance Company of Canada301811Agent - Health4/29/20038/22/2011
InactiveSun Life Assurance Company of Canada301811Agent - Life4/29/20038/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health10/28/19982/8/2005
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life10/28/19982/8/2005
InactiveSwiss Re Life & Health America, Inc.300722Agent - Health1/6/200312/22/2004
InactiveSwiss Re Life & Health America, Inc.300722Agent - Life1/6/200312/22/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health8/14/20007/17/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life8/14/20007/17/2009
InactiveTime Insurance Company300683Agent - Health8/9/201212/20/2014
InactiveTime Insurance Company300683Agent - Life8/9/201212/20/2014
InactiveTransamerica Life Insurance Company300571Agent - Health2/9/19995/15/2009
InactiveTransamerica Life Insurance Company300571Agent - Life2/9/19995/15/2009
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/10/200810/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/10/200810/1/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health10/11/19918/12/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/11/19918/12/2008
InactiveTrustmark Insurance Company300317Agent - Health3/8/20025/15/2003
InactiveTrustmark Insurance Company300317Agent - Life3/8/20025/15/2003
Pending ReplacementUNUM Life Insurance Company of America300817Agent - Health7/10/2013 
Pending ReplacementUNUM Life Insurance Company of America300817Agent - Life7/10/2013 
InactiveUnion Security Insurance Company301844Agent - Health12/17/199812/28/2007
InactiveUnion Security Insurance Company301844Agent - Life12/17/199812/28/2007
InactiveUnited Heartland Life Insurance Company517547Agent - Health4/5/20017/10/2006
InactiveUnited Heartland Life Insurance Company517547Agent - Life4/5/20017/10/2006
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health4/22/20022/9/2005
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life4/22/20022/9/2005
InactiveUnited Wisconsin Insurance Company301103Agent - Health3/29/19997/10/2006
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/14/19976/16/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/14/19976/16/2008
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/26/199911/29/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/26/199911/29/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/25/20046/11/2007
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/25/20046/11/2007
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/200111/29/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization3/26/19993/1/2001
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/12/200311/29/2016
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life8/11/19998/21/2010
InactiveWestport Insurance Corporation301875Agent - Health3/11/200210/30/2008
InactiveWilcac Life Insurance Company301573Agent - Health9/6/200112/30/2004
InactiveWilcac Life Insurance Company301573Agent - Life9/6/200112/30/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementCBISA Reaquisitian Corp547026Agent - Health12/28/2010 
Pending ReplacementCBISA Reaquisitian Corp547026Agent - Life12/28/2010 
Pending ReplacementDental Choice Agency Inc.398085Agent - Health6/6/2011 
Pending ReplacementDesignated Agent Company Inc.681257Agent - Health12/13/2013 
Pending ReplacementDesignated Agent Company Inc.681257Agent - Life12/13/2013 
Pending ReplacementHauser , Inc.502110Agent - Health12/31/1999 
InactiveHauser , Inc.502110Agent - Health Maintenance Organization12/31/19993/1/2001
Pending ReplacementHauser , Inc.502110Agent - Life12/31/1999 
InactiveWood Underwriters Agency Inc.400007Agent - Health12/31/19975/31/2003
InactiveWood Underwriters Agency Inc.400007Agent - Health Maintenance Organization10/10/199412/31/1997
InactiveWood Underwriters Agency Inc.400007Agent - Life12/31/19975/31/2003

© Commonwealth of Kentucky. All rights reserved.