DEPARTMENT OF INSURANCE
Affiliations
NameJeffreys, Dolly RoseDOIID821513NAIC NPN17068132
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife8/25/2015 7/31/2026
ActiveResidentAgentHealth9/27/2013 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202407/31/202405/03/202405/03/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health2/7/2024 
InactiveAccendo Insurance Company300312Agent - Health10/27/202311/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health4/8/2016 
ActiveAetna Health and Life Insurance Company300523Agent - Health10/27/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health3/31/2016 
ActiveAetna Life Insurance Company301140Agent - Life3/31/2016 
InactiveAmerican Continental Insurance Company643130Agent - Health7/1/201411/12/2014
InactiveAmeritas Life Insurance Corporation300126Agent - Health12/31/201610/26/2021
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/31/201610/26/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/6/2022 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/24/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health9/6/2022 
ActiveAnthem Life Insurance Company301209Agent - Life9/6/2022 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/12/2017 
InactiveBanner Life Insurance Company301696Agent - Life4/17/201810/22/2020
InactiveBaptist Health Plan, Inc.300157Agent - Health9/25/20153/31/2019
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health9/14/2022 
ActiveCareSource Kentucky Co.838179Agent - Health10/28/2019 
ActiveCincinnati Life Insurance Company (The)300601Agent - Health7/21/2016 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life7/21/2016 
InactiveColorado Bankers Life Insurance Company301845Agent - Health7/29/20167/11/2019
InactiveColorado Bankers Life Insurance Company301845Agent - Life7/29/20167/11/2019
InactiveCombined Insurance Company of America301472Agent - Health5/14/20148/17/2020
InactiveCompBenefits Dental, Inc.591692Agent - Health1/11/201612/13/2016
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/27/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/2021 
ActiveDental Care Plus Inc.301495Agent - Health10/1/2016 
ActiveDental Concern Inc. (The)301641Agent - Health5/26/2023 
ActiveEssence Healthcare, Inc.657425Agent - Health10/11/2022 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health3/31/2016 
ActiveGolden Rule Insurance Company301943Agent - Health6/17/2015 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/201412/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/26/201912/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health5/19/201412/10/2018
ActiveHumana Insurance Company301104Agent - Health5/19/2014 
ActiveHumana Insurance Company301104Agent - Life10/30/2018 
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/19/201412/13/2022
ActiveHumana Medical Plan, Inc.801568Agent - Health10/13/2014 
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/13/2022
InactiveIndependence American Insurance Company524747Agent - Health2/14/201912/30/2022
InactiveKanawha Insurance Company300127Agent - Health5/19/201410/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/21/201310/29/2015
InactiveLifeSecure Insurance Company301629Agent - Health10/5/20178/14/2020
ActiveMadison National Life Insurance Company Inc.301458Agent - Health12/10/2020 
InactiveMadison National Life Insurance Company Inc.301458Agent - Life5/31/201712/4/2020
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/21/2022 
ActiveMutual of Omaha Insurance Company301012Agent - Health2/20/2024 
ActiveNational Health Insurance Company300554Agent - Health1/22/2016 
ActiveNational Health Insurance Company300554Agent - Life1/22/2016 
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health7/18/201612/10/2018
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life7/18/201612/10/2018
InactiveOmaha Health Insurance Company301296Agent - Health11/21/20183/31/2022
InactiveOmaha Insurance Company751908Agent - Health3/14/20178/8/2018
InactiveSecurity Life Insurance Company of America300936Agent - Health9/9/201612/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life9/9/201612/31/2016
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health4/6/20151/23/2020
ActiveSilverScript Insurance Company663526Agent - Health5/9/2016 
ActiveStandard Life and Accident Insurance Company301534Agent - Health9/8/2016 
InactiveTime Insurance Company300683Agent - Health3/2/201711/22/2019
InactiveTime Insurance Company300683Agent - Life3/2/201711/22/2019
ActiveUnited World Life Insurance Company300532Agent - Health11/6/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/14/2022 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/14/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/14/202212/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health6/17/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/20181/23/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/6/201512/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/14/2022 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/30/2023 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health1/11/2023 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/13/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDesignated Agent Company Inc.681257Agent - Health12/13/2013 
InactiveMedlink Inc400721Agent - Health10/25/20133/31/2024
InactiveMedlink Inc400721Agent - Life7/20/20163/31/2024
ActivePlanchoice Inc.400482Agent - Health7/17/2014 

© Commonwealth of Kentucky. All rights reserved.