DEPARTMENT OF INSURANCE
Affiliations
NameBurkhalter, Jaclyn AnnDOIID910286NAIC NPN17208888
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/18/2016 7/31/2026
ActiveNon ResidentAgentHealth3/18/2016 7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202407/31/202405/13/202405/13/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health8/25/2016 
ActiveAetna Health and Life Insurance Company300523Agent - Health12/12/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/25/2016 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/27/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health5/20/2016 
ActiveAnthem Life Insurance Company301209Agent - Life5/20/2016 
ActiveArcadian Health Plan, Inc.728196Agent - Health11/13/2023 
ActiveCHA HMO, Inc.300662Agent - Health5/13/2024 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/20/2023 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/20/2019 
ActiveCigna Healthcare of Colorado, Inc.1098153Agent - Health11/20/2023 
ActiveCompBenefits Insurance Company301864Agent - Health5/11/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life5/14/2022 
ActiveDental Care Plus Inc.301495Agent - Health8/1/2017 
InactiveDental Concern Inc. (The)301641Agent - Health11/16/201612/19/2019
InactiveElixir Insurance Company696846Agent - Health9/12/201910/1/2020
InactiveEncova Life Insurance Company301818Agent - Life1/17/20181/1/2024
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/25/2016 
ActiveGerber Life Insurance Company300529Agent - Health5/31/2024 
ActiveGerber Life Insurance Company300529Agent - Life5/31/2024 
ActiveGolden Rule Insurance Company301943Agent - Health12/29/2017 
ActiveGolden Rule Insurance Company301943Agent - Life12/29/2017 
ActiveHealth Resources Inc.301210Agent - Health8/19/2016 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/11/2019 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/16/20162/23/2018
ActiveHumana Health Plan, Inc.300142Agent - Health4/17/2024 
ActiveHumana Insurance Company301104Agent - Health11/16/2016 
ActiveHumana Insurance Company301104Agent - Life11/16/2016 
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/30/202212/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/30/202212/13/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health7/19/201812/10/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health7/19/201812/10/2018
InactiveIndependence American Insurance Company524747Agent - Health8/7/201812/18/2020
ActiveMedco Containment Life Insurance Company301557Agent - Health12/26/2023 
InactiveMedico Insurance Company301559Agent - Health9/9/202112/21/2022
InactiveMedico Insurance Company301559Agent - Life9/9/202112/21/2022
ActiveNational Health Insurance Company300554Agent - Health5/3/2018 
ActiveNational Health Insurance Company300554Agent - Life5/3/2018 
ActiveOmaha Health Insurance Company301296Agent - Health2/18/2021 
ActivePan-American Life Insurance Company301530Agent - Life1/1/2024 
ActiveSilverScript Insurance Company663526Agent - Health5/13/2016 
InactiveUnited World Life Insurance Company300532Agent - Health6/5/20204/22/2021
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/30/2017 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health4/30/201712/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/30/2017 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/28/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health7/19/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/10/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health2/8/2017 
ActiveDesignated Agent Company Inc.681257Agent - Health5/20/2016 
ActiveDesignated Agent Company Inc.681257Agent - Life5/20/2016 
ActiveKeystone Ins & Benefits Group LLC716920Agent - Health5/13/2016 
ActiveKeystone Ins & Benefits Group LLC716920Agent - Life5/20/2016 
ActiveLatta Insurance Services Inc.720169Agent - Health9/22/2016 
ActiveLatta Insurance Services Inc.720169Agent - Life9/22/2016 
ActivePlanchoice Inc.400482Agent - Health2/9/2017 
ActivePlanchoice Inc.400482Agent - Life2/9/2017 

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