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		11/30/2027
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.

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