DEPARTMENT OF INSURANCE

Affiliations

Name	Gulley, Judy Karen	DOIID	867862	NAIC NPN	13997746

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	2/4/2015	12/31/2016
Inactive	Non Resident	Agent	Health	2/4/2015	12/31/2016
Inactive	Non Resident	Agent	Life	2/4/2015	12/31/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/1/2016	12/13/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/1/2016	12/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/1/2016	12/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/1/2016	12/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/1/2016	12/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	8/1/2016	12/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/1/2016	12/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/1/2016	12/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/1/2016	12/31/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/31/2016
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/8/2015	12/31/2016
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	5/8/2015	12/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Jackson National Life Insurance Agency LLC	400555	Agent - Health
Inactive	Jackson National Life Insurance Agency LLC	400555	Agent - Variable Life and Variable Annuities	7/9/2015	12/31/2016
Inactive	Jackson National Life Insurance Agency LLC	400555	Agent - Life	7/9/2015	12/31/2016