DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Washam, Jacqueline	DOIID	925980	NAIC NPN	16583173

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/8/2022		6/30/2025
Active	Non Resident	Agent	Life	7/8/2022		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	9/26/2023	4/6/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/15/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/15/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/15/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/28/2022	7/10/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/28/2022	7/10/2023
Active	American General Life Insurance Company	301585	Agent - Health	11/27/2023
Active	American General Life Insurance Company	301585	Agent - Life	11/27/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/23/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/23/2024	12/16/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/20/2019	6/27/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/20/2019	6/27/2019
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/23/2024	12/16/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/29/2016	7/19/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/21/2019	7/2/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/21/2019	7/2/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/29/2020	6/30/2021
Active	SilverScript Insurance Company	663526	Agent - Health	7/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	4/4/2019	6/30/2019
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	4/4/2019	6/30/2019