DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Tracy L	DOIID	1015882	NAIC NPN	18943360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/19/2018		1/31/2027
Active	Non Resident	Agent	Life	10/19/2018		1/31/2027
* 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	AAA Life Insurance Company	300287	Agent - Health	10/23/2018	4/22/2019
Inactive	AAA Life Insurance Company	300287	Agent - Life	10/23/2018	4/22/2019
Inactive	Federal Insurance Company	301144	Agent - Health	12/13/2019	11/17/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	2/12/2020
Active	Golden Rule Insurance Company	301943	Agent - Life	2/12/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/8/2021	10/31/2024
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	1/13/2020
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	12/24/2020
Active	National Health Insurance Company	300554	Agent - Health	5/15/2020
Active	National Health Insurance Company	300554	Agent - Life	5/15/2020
Inactive	Physicians Life Insurance Company	300924	Agent - Life	11/12/2024	4/11/2025
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	11/12/2024	4/11/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/24/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/24/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/10/2020	4/28/2022