DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacques, Mardochee	DOIID	1267822	NAIC NPN	17705592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/10/2023		6/30/2027
* 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	04/15/2025	06/30/2025	05/27/2025	05/27/2025	Yes

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	4/21/2023	9/9/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/21/2023	9/9/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/21/2023	9/9/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/17/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/17/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/17/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/5/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/25/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/17/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/20/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/14/2023	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	6/15/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	5/8/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/21/2023	9/9/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/25/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/25/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/13/2025

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	2/16/2024