DEPARTMENT OF INSURANCE

Affiliations

Name	Perry, Jacqueline	DOIID	767138	NAIC NPN	15870883

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/10/2018	10/31/2021
Inactive	Non Resident	Agent	Life	1/10/2018	10/31/2021
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	10/31/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/30/2011	10/31/2015
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/15/2018	8/20/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Health	1/17/2018	1/11/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Life	1/17/2018	1/11/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/20/2015	10/31/2015
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/26/2011	10/1/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/26/2011	10/1/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	12/15/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/14/2011	10/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/20/2015	10/31/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/1/2011	10/31/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/20/2015	10/31/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/20/2015	10/31/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/20/2015	10/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/20/2015	10/31/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/20/2015	10/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/20/2015	10/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/20/2015	10/31/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/20/2015	10/31/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/1/2020	10/31/2021
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	12/30/2013	8/4/2014
Inactive	New York Life Insurance Company	300431	Agent - Life	9/8/2014	11/19/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/20/2011	6/21/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/20/2011	6/21/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	10/2/2013	10/15/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Life	10/2/2013	10/15/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/30/2011	10/31/2015