DEPARTMENT OF INSURANCE

Affiliations

Name	Tracy, Jacqueline	DOIID	818624	NAIC NPN	6744036

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	6/7/2021	9/30/2022
Inactive	Non Resident	Agent	Casualty	6/7/2021	9/30/2022
Inactive	Non Resident	Agent	Health	2/20/2017	9/30/2018
Inactive	Non Resident	Agent	Life	2/20/2017	9/30/2018
* 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. (PA)	660717	Agent - Health	10/13/2017	9/30/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/31/2017	9/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/13/2017	9/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/13/2017	9/30/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	10/31/2017	9/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	7/27/2017	9/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	7/27/2017	9/30/2018
Inactive	American National Insurance Company	301861	Agent - Health	8/17/2017	9/30/2018
Inactive	American National Insurance Company	301861	Agent - Life	8/17/2017	9/30/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/30/2014	2/9/2015
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/25/2017	6/8/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/18/2021	8/13/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/18/2021	8/13/2021
Inactive	Combined Insurance Company of America	301472	Agent - Health	11/3/2017	9/30/2018
Inactive	Combined Insurance Company of America	301472	Agent - Life	11/3/2017	9/30/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/11/2016	9/30/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/31/2017	9/30/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/11/2016	9/30/2016
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	6/18/2021	8/13/2021
Inactive	Farmers Insurance Exchange	300336	Agent - Property	6/18/2021	8/13/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/13/2017	9/30/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/25/2017	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/11/2016	9/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/25/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/25/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/25/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/11/2016	9/30/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/25/2017	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/25/2017	6/8/2018
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	1/26/2018	4/5/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/14/2017	12/12/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2015	9/15/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/24/2015	9/15/2015

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 - Health	9/30/2014	2/9/2015
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	6/18/2021	8/13/2021
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/18/2021	8/13/2021