DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Terri L	DOIID	1275485	NAIC NPN	17888326

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/19/2023		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/23/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/23/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	5/23/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/19/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/19/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/19/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/7/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/23/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/19/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/30/2024
Active	Humana Insurance Company	301104	Agent - Health	7/5/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/9/2023
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/13/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/23/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/23/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/23/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	eHealthInsurance Services Inc.	514105	Agent - Health	5/24/2023