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.

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 Life Insurance Company	301209	Agent - Health	9/8/2013
Active	Anthem Life Insurance Company	301209	Agent - Life	9/8/2013
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
Active	Designated Agent Company Inc.	681257	Agent - Life	9/8/2013
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
Active	Fifth Third Insurance Agency Inc	399341	Agent - Life	11/12/2018
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 Ins & Benefits Group LLC	716920	Agent - Life	3/26/2012	7/10/2013
Inactive	Keystone Ins & Benefits Group LLC	716920	Agent - Health	3/26/2012	7/10/2013