DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Tamara K	DOIID	854980	NAIC NPN	7875377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/23/2020	11/30/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2020	5/8/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/17/2015	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/17/2015	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/17/2015	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	4/20/2015	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/17/2015	3/23/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/17/2015	10/22/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/31/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/31/2020	12/29/2021
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	5/12/2015	9/1/2016

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	10/16/2014	9/8/2016