DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lane, Jeffrey Michael	DOIID	952881	NAIC NPN	18386876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/3/2017		12/31/2025
Active	Non Resident	Agent	Life	5/3/2017		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/19/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/19/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/19/2023	4/15/2025
Inactive	CareSource Kentucky Co.	838179	Agent - Health	4/15/2021	4/7/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/26/2021	2/13/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/26/2021	2/13/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	5/5/2017
Active	Golden Rule Insurance Company	301943	Agent - Life	5/5/2017
Inactive	Independence American Insurance Company	524747	Agent - Health	6/13/2017	12/18/2020
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	5/2/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021