DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Tracy Lynn Kanani	DOIID	505765	NAIC NPN	5908203

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/25/2000		7/31/2025
Active	Resident	Agent	Health	5/25/2000		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/17/2020	12/15/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/31/2016	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/25/2019	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/3/2013	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	9/3/2013	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	9/3/2013	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/17/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/10/2013	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/31/2016	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/1/2016	12/19/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/3/2013	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/3/2013	11/3/2015
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	9/24/2008	4/28/2009
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	9/24/2008	4/28/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Associated Benefits Ltd.	398481	Agent - Life	1/6/2004	3/31/2006
Inactive	Associated Benefits Ltd.	398481	Agent - Health	1/6/2004	3/31/2006
Inactive	Preferred Benefits LLC	550000	Agent - Life	9/3/2013	12/12/2024
Inactive	Preferred Benefits LLC	550000	Agent - Health	9/3/2013	12/12/2024