DEPARTMENT OF INSURANCE
Affiliations
NameThibodeaux, Jacoby JarrellDOIID926852NAIC NPN18040828
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/29/2020 7/31/2025
ActiveNon ResidentAgentLife7/29/2020 7/31/2025
* 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
Agent05/15/202507/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health1/30/2025 
InactiveAccendo Insurance Company300312Agent - Health7/19/202311/17/2023
ActiveAccendo Insurance Company300312Agent - Life1/24/2025 
ActiveAetna Health Inc. (PA)660717Agent - Health8/14/2020 
ActiveAetna Health and Life Insurance Company300523Agent - Health1/24/2025 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/14/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/14/2020 
InactiveAetna Life Insurance Company301140Agent - Life9/10/20168/12/2019
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/17/20207/2/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/27/20217/2/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/27/20217/2/2024
InactiveAnthem Life Insurance Company301209Agent - Health8/17/20207/2/2024
InactiveAnthem Life Insurance Company301209Agent - Life8/17/20207/2/2024
InactiveArcadian Health Plan, Inc.728196Agent - Health4/27/20227/3/2024
ActiveCIGNA Health & Life Insurance Company301783Agent - Health9/1/2020 
InactiveCIGNA Health & Life Insurance Company301783Agent - Life9/28/20177/31/2019
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20228/1/2024
InactiveChesapeake Life Insurance Company (The)301017Agent - Health8/25/20202/3/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/27/20217/2/2024
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health1/24/2025 
InactiveDental Concern Inc. (The)301641Agent - Health8/28/20176/8/2018
InactiveFirst Health Life & Health Insurance Company301735Agent - Health9/10/20168/12/2019
ActiveGuardian Life Insurance Company of America301316Agent - Health9/2/2020 
ActiveGuardian Life Insurance Company of America301316Agent - Life9/2/2020 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/26/20176/8/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/6/20167/13/2017
InactiveHumana Health Plan, Inc.300142Agent - Health8/28/20176/8/2018
InactiveHumana Insurance Company301104Agent - Health1/10/20247/3/2024
InactiveHumana Insurance Company301104Agent - Life8/28/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/28/20178/23/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/28/20178/23/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health9/26/20176/8/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health8/28/20176/8/2018
InactiveLoyal American Life Insurance Company301172Agent - Health9/2/202012/27/2022
InactiveMedco Containment Life Insurance Company301557Agent - Health11/16/20206/25/2021
InactiveMonitor Life Insurance Company of New York1117550Agent - Health2/15/20238/1/2024
InactiveMonitor Life Insurance Company of New York1117550Agent - Life2/15/20238/1/2024
ActiveSilverScript Insurance Company663526Agent - Health8/14/2020 
ActiveTier One Insurance Company301056Agent - Health1/24/2025 
ActiveTier One Insurance Company301056Agent - Life1/24/2025 
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/9/20208/1/2024
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health7/22/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/9/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/9/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/9/20208/1/2024
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/1/20207/25/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/1/20207/25/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveExtend Insurance Services, LLC625753Agent - Health9/1/20207/1/2024
InactiveExtend Insurance Services, LLC625753Agent - Life9/1/20207/1/2024
InactiveeHealthInsurance Services Inc.514105Agent - Health5/31/20197/31/2019
InactiveeHealthInsurance Services Inc.514105Agent - Life5/31/20197/31/2019

© Commonwealth of Kentucky. All rights reserved.