DEPARTMENT OF INSURANCE

Affiliations

Name	Worrell, Jacob Matthew	DOIID	844593	NAIC NPN	14064571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/22/2016		11/30/2025
Inactive	Non Resident	Agent	Life	7/2/2014	11/30/2015
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/14/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/21/2016	11/17/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/14/2019
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	7/24/2018	12/21/2018
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/18/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/23/2017	12/10/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/22/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/4/2022	12/12/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	11/17/2021
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/29/2017	5/24/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/1/2015	12/16/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/1/2015	12/16/2015
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/25/2014	11/30/2015
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/25/2014	11/30/2015
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Health	11/23/2023	12/26/2024
Inactive	Humana Insurance Company	301104	Agent - Health	12/6/2019	12/13/2022
Active	Loyal American Life Insurance Company	301172	Agent - Health	5/5/2025
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/23/2018	3/30/2020
Inactive	Omaha Insurance Company	751908	Agent - Health	6/24/2016	8/8/2018
Active	SilverScript Insurance Company	663526	Agent - Health	10/15/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	3/16/2018	9/23/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/21/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/1/2015	12/16/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/1/2015	12/16/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/21/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/21/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/6/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/6/2020	12/31/2021

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	2/24/2017	12/11/2020