DEPARTMENT OF INSURANCE

Affiliations

Name	Waites-Ray, Jacquan Marshay	DOIID	926293	NAIC NPN	17514509

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Life
Inactive	Non Resident	Agent	Property	6/28/2017	4/30/2021
Inactive	Non Resident	Agent	Health	12/7/2016	4/30/2021
Inactive	Non Resident	Agent	Casualty	6/28/2017	4/30/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	2/11/2019	4/30/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/26/2019	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/11/2019	4/30/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/6/2020	4/30/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	5/16/2019	11/11/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	5/16/2019	11/11/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/26/2019	4/30/2021
Inactive	Federal Insurance Company	301144	Agent - Health	3/18/2019	4/30/2021
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	8/21/2017	3/27/2020
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	8/21/2017	3/27/2020
Inactive	LifeShield National Insurance Company	737111	Agent - Health	12/27/2018	4/30/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	4/29/2019	4/30/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	4/30/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/11/2019	3/15/2019
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	8/21/2017	3/27/2020
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	8/21/2017	3/27/2020
Inactive	United Services Automobile Association	300158	Agent - Casualty	8/21/2017	3/27/2020
Inactive	United Services Automobile Association	300158	Agent - Property	8/21/2017	3/27/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/19/2019	4/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/19/2019	4/30/2021

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	5/6/2020	4/30/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/18/2019	4/30/2021