DEPARTMENT OF INSURANCE
Affiliations
NameHarrison, Jeri SueDOIID371310NAIC NPN249984
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife10/1/19868/1/2024 
InactiveResidentAgentHealth10/1/19868/1/2024 
InactiveResidentAgentHealth Maintenance Organization8/28/19913/1/2001 
InactiveResidentAgentPrepaid Dental Plan12/18/20003/1/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization3/3/19993/1/2001
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20078/1/2024
InactiveAetna Life Insurance Company301140Agent - Health10/1/19998/1/2024
InactiveAetna Life Insurance Company301140Agent - Life10/1/19998/1/2024
InactiveAllianz Life Insurance Company of North America301791Agent - Health6/2/19974/8/2004
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/2/19974/8/2004
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/5/20058/5/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/5/20058/5/2022
InactiveAmerican Fidelity Assurance Company301004Agent - Health3/1/200312/22/2004
InactiveAmerican Fidelity Assurance Company301004Agent - Life3/1/200312/22/2004
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20121/8/2018
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20121/8/2018
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health9/14/200712/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life9/14/200712/31/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health3/24/20007/11/2016
InactiveAmerican Heritage Life Insurance Company300272Agent - Life3/24/20007/11/2016
InactiveAmerican United Life Insurance Company300498Agent - Health11/27/199611/21/2023
InactiveAmerican United Life Insurance Company300498Agent - Life11/27/199611/21/2023
InactiveAmeritas Life Insurance Corporation300126Agent - Health12/10/199811/27/2002
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/10/199811/27/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization5/12/19933/31/1997
InactiveAvemco Insurance Company300669Agent - Health1/22/20022/28/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200112/13/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200112/13/2011
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health3/1/20018/1/2024
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Prepaid Dental Plan12/18/20003/1/2001
InactiveCIGNA Health & Life Insurance Company301783Agent - Health2/25/19984/9/2003
InactiveCIGNA Health & Life Insurance Company301783Agent - Life2/25/19984/9/2003
InactiveCompBenefits Dental, Inc.591692Agent - Health7/28/200912/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health7/28/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life7/28/20097/2/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health12/18/20006/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life12/18/20006/11/2014
InactiveDearborn Life Insurance Company300401Agent - Health10/31/20086/16/2023
InactiveDearborn Life Insurance Company300401Agent - Life10/31/20086/16/2023
InactiveDental Concern Inc. (The)301641Agent - Health12/27/20166/15/2018
InactiveDentiCare, Inc.300655Agent - Health4/12/200211/1/2005
InactiveEmpower Annuity Insurance Company of America300259Agent - Health6/10/19961/3/2012
InactiveEmpower Annuity Insurance Company of America300259Agent - Life6/10/199612/18/2014
InactiveFidelity Security Life Insurance Company300466Agent - Health3/12/201012/15/2022
InactiveFidelity Security Life Insurance Company300466Agent - Life3/12/201012/15/2022
InactiveFort Wayne Health & Casualty Insurance Company301572Agent - Health10/25/199912/22/2004
InactiveGeneral American Life Insurance Company300280Agent - Health12/6/19931/8/2001
InactiveGeneral American Life Insurance Company300280Agent - Life12/6/19931/8/2001
InactiveGolden Rule Insurance Company301943Agent - Health6/28/201112/13/2016
InactiveGolden Rule Insurance Company301943Agent - Life6/28/201112/14/2016
InactiveGuardian Life Insurance Company of America301316Agent - Health11/6/200012/6/2022
InactiveGuardian Life Insurance Company of America301316Agent - Life11/6/200012/6/2022
InactiveHCC Life Insurance Company301827Agent - Health6/16/201010/2/2012
InactiveHCC Life Insurance Company301827Agent - Life6/16/201010/2/2012
InactiveHM Life Insurance Company301408Agent - Health12/19/19952/7/2005
InactiveHM Life Insurance Company301408Agent - Life12/19/19952/7/2005
InactiveHartford Life Group Insurance Company301708Agent - Health11/8/200612/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life11/8/200612/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/7/20008/30/2024
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/7/20008/30/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/1/200112/8/2015
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health Maintenance Organization8/21/19953/1/2001
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20016/15/2018
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization8/28/19913/1/2001
InactiveHumana Insurance Company301104Agent - Health4/12/199512/13/2022
InactiveHumana Insurance Company301104Agent - Life4/12/199512/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/14/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/14/20176/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health1/31/20062/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life1/31/20062/23/2012
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health12/21/19994/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life12/21/19994/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health12/1/20001/24/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life12/1/20001/24/2013
InactiveKanawha Insurance Company300127Agent - Health10/29/20154/25/2017
InactiveKanawha Insurance Company300127Agent - Life10/29/20154/25/2017
InactiveKansas City Life Insurance Company301444Agent - Health8/19/19988/1/2024
InactiveKansas City Life Insurance Company301444Agent - Life8/19/19988/1/2024
InactiveLafayette Life Insurance Company (The)301039Agent - Health8/25/20004/7/2004
InactiveLafayette Life Insurance Company (The)301039Agent - Life8/25/20004/7/2004
InactiveLife Insurance Company of North America300711Agent - Health12/22/19938/1/2024
InactiveLife Insurance Company of North America300711Agent - Life12/22/19938/1/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/20078/1/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/20078/1/2024
InactiveLincoln National Reassurance Company301919Agent - Health8/5/19991/6/2003
InactiveLincoln National Reassurance Company301919Agent - Life8/5/19991/6/2003
InactiveMEGA Life and Health Insurance Company (The)300751Agent - Health10/27/20034/13/2007
InactiveMEGA Life and Health Insurance Company (The)300751Agent - Life10/27/20034/13/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health4/1/199312/6/2016
InactiveMetropolitan Life Insurance Company301948Agent - Life4/1/199312/6/2016
InactiveMutual of Omaha Insurance Company301012Agent - Health10/14/19976/16/2008
InactivePacifiCare Life Assurance Company301082Agent - Health6/25/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/25/19987/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health3/1/20013/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health Maintenance Organization6/5/19973/1/2001
InactivePaul Revere Life Insurance Company300971Agent - Health9/26/199611/10/2004
InactivePaul Revere Life Insurance Company300971Agent - Life9/26/199611/10/2004
InactivePrincipal Life Insurance Company300129Agent - Health4/25/20118/1/2024
InactivePrincipal Life Insurance Company300129Agent - Life4/25/20118/1/2024
InactiveProfessional Insurance Company301281Agent - Health7/15/19997/31/1999
InactiveProfessional Insurance Company301281Agent - Life7/15/19997/31/1999
InactiveProtective Life Insurance Company300638Agent - Health11/4/199812/22/2003
InactiveProtective Life Insurance Company300638Agent - Life11/4/199812/22/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/10/20138/1/2024
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/10/20138/1/2024
InactivePruco Life Insurance Company300954Agent - Health11/4/201012/23/2014
InactivePruco Life Insurance Company300954Agent - Life11/4/201012/23/2014
InactivePrudential Health Care Plan Inc.301342Agent - Health3/1/20015/21/2003
InactivePrudential Health Care Plan Inc.301342Agent - Health Maintenance Organization11/13/19973/1/2001
InactivePrudential Insurance Company of America300784Agent - Health11/13/19978/1/2024
InactivePrudential Insurance Company of America300784Agent - Life11/13/19978/1/2024
InactiveReliaStar Life Insurance Company301712Agent - Health3/29/20008/1/2024
InactiveReliaStar Life Insurance Company301712Agent - Life3/29/20008/1/2024
InactiveReliaStar Life Insurance Company of New York301018Agent - Health3/29/200011/9/2009
InactiveReliaStar Life Insurance Company of New York301018Agent - Life3/29/200011/9/2009
InactiveReliance Standard Life Insurance Company300584Agent - Health8/8/20028/1/2024
InactiveReliance Standard Life Insurance Company300584Agent - Life8/8/20028/1/2024
InactiveSecurian Life Insurance Company300757Agent - Health1/12/20098/1/2024
InactiveSecurian Life Insurance Company300757Agent - Life1/12/20098/1/2024
InactiveSecurity Life of Denver Insurance Company300648Agent - Health1/6/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life1/6/20119/29/2012
InactiveShenandoah Life Insurance Company300130Agent - Health2/3/19923/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life2/3/19923/31/2009
InactiveSun Life Assurance Company of Canada301811Agent - Health4/29/20038/22/2011
InactiveSun Life Assurance Company of Canada301811Agent - Life4/29/20038/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health10/28/19982/8/2005
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life10/28/19982/8/2005
InactiveSwiss Re Life & Health America, Inc.300722Agent - Health1/6/200312/22/2004
InactiveSwiss Re Life & Health America, Inc.300722Agent - Life1/6/200312/22/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health8/14/20007/17/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life8/14/20007/17/2009
InactiveTime Insurance Company300683Agent - Health8/9/201212/20/2014
InactiveTime Insurance Company300683Agent - Life8/9/201212/20/2014
InactiveTransamerica Life Insurance Company300571Agent - Health2/9/19995/15/2009
InactiveTransamerica Life Insurance Company300571Agent - Life2/9/19995/15/2009
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/10/200810/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/10/200810/1/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health10/11/19918/12/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/11/19918/12/2008
InactiveTrustmark Insurance Company300317Agent - Health3/8/20025/15/2003
InactiveTrustmark Insurance Company300317Agent - Life3/8/20025/15/2003
InactiveUNUM Life Insurance Company of America300817Agent - Health7/10/20138/1/2024
InactiveUNUM Life Insurance Company of America300817Agent - Life7/10/20138/1/2024
InactiveUnion Security Insurance Company301844Agent - Health12/17/199812/28/2007
InactiveUnion Security Insurance Company301844Agent - Life12/17/199812/28/2007
InactiveUnited Heartland Life Insurance Company517547Agent - Health4/5/20017/10/2006
InactiveUnited Heartland Life Insurance Company517547Agent - Life4/5/20017/10/2006
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health4/22/20022/9/2005
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life4/22/20022/9/2005
InactiveUnited Wisconsin Insurance Company301103Agent - Health3/29/19997/10/2006
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/14/19976/16/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/14/19976/16/2008
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/26/199911/29/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/26/199911/29/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/25/20046/11/2007
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/25/20046/11/2007
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/200111/29/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization3/26/19993/1/2001
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/12/200311/29/2016
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life8/11/19998/21/2010
InactiveWestport Insurance Corporation301875Agent - Health3/11/200210/30/2008
InactiveWilcac Life Insurance Company301573Agent - Health9/6/200112/30/2004
InactiveWilcac Life Insurance Company301573Agent - Life9/6/200112/30/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCBISA Reaquisitian Corp547026Agent - Health12/28/20108/1/2024
InactiveCBISA Reaquisitian Corp547026Agent - Life12/28/20108/1/2024
InactiveDental Choice Agency Inc.398085Agent - Health6/6/20118/1/2024
InactiveDesignated Agent Company Inc.681257Agent - Health12/13/20138/1/2024
InactiveDesignated Agent Company Inc.681257Agent - Life12/13/20138/1/2024
InactiveHauser , Inc.502110Agent - Health12/31/19998/1/2024
InactiveHauser , Inc.502110Agent - Health Maintenance Organization12/31/19993/1/2001
InactiveHauser , Inc.502110Agent - Life12/31/19998/1/2024
InactiveWood Underwriters Agency Inc.400007Agent - Health12/31/19975/31/2003
InactiveWood Underwriters Agency Inc.400007Agent - Health Maintenance Organization10/10/199412/31/1997
InactiveWood Underwriters Agency Inc.400007Agent - Life12/31/19975/31/2003

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