DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wackerly, Bret Paul	DOIID	739526	NAIC NPN	15344164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/12/2010		12/31/2024
Active	Non Resident	Agent	Life	11/26/2014		12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/30/2015	4/14/2016
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	6/8/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/2/2010	5/28/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/1/2016	6/8/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/2/2010	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/2/2010	5/9/2019
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/2014	5/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/2/2010	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/19/2014	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/11/2011	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/19/2014	6/8/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Trubridge Inc	717747	Agent - Health
Denied	Trubridge Inc	717747	Agent - Life