DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Morris, Tracy Jerome	DOIID	852520	NAIC NPN	16204913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	1/26/2016		8/31/2024
Active	Non Resident	Agent	Health	9/17/2014		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/26/2022
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	2/10/2021	6/20/2022
Active	CHA HMO, Inc.	300662	Agent - Health	12/19/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	7/26/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	3/18/2024
Inactive	Farmers Insurance Exchange	300336	Agent - Personal Lines	2/10/2021	6/20/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/20/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/30/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/5/2024
Active	Humana Insurance Company	301104	Agent - Health	7/26/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/26/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/22/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/17/2014	1/20/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/17/2014	1/20/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Personal Lines	2/12/2021	6/20/2022
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/2/2023