DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lewis, Jacqueline R	DOIID	1095465	NAIC NPN	19233108

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/22/2025		2/28/2027
Active	Non Resident	Agent	Health	8/26/2020		2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/25/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/25/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/1/2024	10/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/13/2026
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	9/30/2025	7/9/2026
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/25/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/23/2024
Inactive	Humana Insurance Company	301104	Agent - Health	8/30/2024	10/15/2025
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	1/24/2023	12/19/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/13/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/28/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/28/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/13/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/26/2025	11/28/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gohealth LLC	691445	Agent - Health	7/24/2024