DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Lakeisha Tiesha	DOIID	1016663	NAIC NPN	18239211

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/25/2018	10/31/2026
Active	Non Resident	Agent	Life	10/25/2018	10/31/2026
* 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	7/9/2024	9/19/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/9/2024	9/19/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/9/2024	9/19/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2024	4/14/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	12/10/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/5/2024	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/19/2020	12/10/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/19/2020	12/10/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/12/2021	5/15/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/26/2024	1/9/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/5/2024	4/14/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/8/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/17/2021	5/15/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/29/2018	4/16/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2018	4/16/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2024	5/6/2025
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2018	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/29/2018	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/29/2018	4/16/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/29/2021	5/15/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/29/2018	4/16/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/18/2019	9/19/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/26/2024	1/9/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/26/2024	1/9/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/1/2024	6/5/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/7/2023	7/30/2024

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 - Life	6/19/2020	12/10/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/19/2020	2/10/2025
Denied	Gohealth LLC	691445	Agent - Life
Inactive	Gohealth LLC	691445	Agent - Health	6/24/2024	1/17/2025