DEPARTMENT OF INSURANCE

Affiliations

Name	Tracy, Sherry M	DOIID	539750	NAIC NPN	7219943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	11/26/2001	7/31/2026
Active	Resident	Agent	Life	11/26/2001	7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	4/22/2002	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/22/2002	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/22/2002	9/22/2010
Inactive	All Savers Insurance Company	301940	Agent - Health	9/17/2013	7/5/2014
Inactive	All Savers Insurance Company	301940	Agent - Life	9/17/2013	7/5/2014
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/8/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/8/2013	4/15/2025
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/28/2011	3/5/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/28/2011	3/5/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/22/2010	7/10/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/22/2010	7/10/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/22/2010	7/10/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/10/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/9/2013	7/10/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/26/2001	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/26/2001	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/26/2001	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/9/2007	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/9/2007	7/10/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/9/2007	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/9/2007	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/9/2013	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/9/2013	7/10/2013
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/7/2013	10/29/2015

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 - Life	9/8/2013	4/15/2025
Active	Designated Agent Company Inc.	681257	Agent - Health	9/8/2013
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Life	9/8/2017	3/31/2021
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Health	9/8/2017	3/31/2021
Inactive	Epic Ins Solutions LLC	802896	Agent - Life	9/12/2013	3/5/2019
Inactive	Epic Ins Solutions LLC	802896	Agent - Health	9/12/2013	3/5/2019
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	11/12/2018	4/15/2025
Active	Fifth Third Insurance Agency Inc	399341	Agent - Health	11/12/2018
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - Life	1/7/2004	7/10/2013
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - Health	1/7/2004	7/10/2013
Inactive	Keystone Insurance & Benefits Group, LLC	716920	Agent - Life	3/26/2012	7/10/2013
Inactive	Keystone Insurance & Benefits Group, LLC	716920	Agent - Health	3/26/2012	7/10/2013