DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Harris, Tracey	DOIID	1287586	NAIC NPN	20608140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	7/25/2023		5/31/2025
Pending Replacement	Non Resident	Agent	Health	7/25/2023		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/10/2024	2/7/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/10/2024	2/7/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/16/2023	6/3/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/16/2023	6/3/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/15/2023	5/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	HealthMarkets Insurance Agency Inc	709727	Agent - Life	10/24/2024
Pending Replacement	HealthMarkets Insurance Agency Inc	709727	Agent - Health	10/24/2024