DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mann, Jacqueline Teresa	DOIID	1356939	NAIC NPN	19828550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/21/2024		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
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/2/2025	7/10/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/2/2025	7/10/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/6/2025	6/11/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/27/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/2/2025	7/10/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/6/2025	6/11/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/6/2025	6/11/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	8/27/2024	9/24/2024