DEPARTMENT OF INSURANCE

Affiliations

Name	Mountjoy, Tracy S	DOIID	957108	NAIC NPN	5019755

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/12/2017	8/31/2022
Inactive	Non Resident	Agent	Property	8/22/2018	8/31/2022
Inactive	Non Resident	Agent	Casualty	8/22/2018	8/31/2022
Inactive	Non Resident	Agent	Life	6/12/2017	8/31/2022
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	8/31/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	8/31/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/17/2019	8/31/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/23/2017	8/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/22/2020	8/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/17/2019	8/31/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	6/23/2017	8/11/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/20/2019	8/31/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	2/11/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021	2/11/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/20/2019	10/1/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/20/2019	10/1/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/22/2020	3/15/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/15/2017	12/21/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020	11/15/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	2/11/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/23/2017	8/31/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	10/10/2017	2/22/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/7/2020	3/15/2022
Inactive	Humana Insurance Company	301104	Agent - Health	12/9/2019	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	11/14/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/14/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/14/2017	6/8/2018
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/27/2017	8/31/2022
Inactive	SILAC Insurance Company	300535	Agent - Health	6/19/2017	3/30/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	6/19/2017	3/30/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/17/2019	8/31/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	10/22/2019	10/26/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/13/2018	3/18/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	9/13/2018	3/18/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2019	11/5/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/12/2019	11/5/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/12/2019	11/5/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2019	11/5/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mylo LLC	973654	Agent - Casualty	9/13/2018	6/24/2019
Inactive	Mylo LLC	973654	Agent - Property	9/13/2018	6/24/2019
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	2/26/2021	8/31/2022
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	2/26/2021	8/31/2022