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	Health	5/25/2000		7/31/2027
Active	Resident	Agent	Life	5/25/2000		7/31/2027
* 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	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