DEPARTMENT OF INSURANCE
Affiliations
NameJackson, Simone DOIID849311NAIC NPN17179507
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentLife9/13/2022 10/31/2025
Pending ReplacementNon ResidentAgentHealth9/13/2022 10/31/2025
* 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
Pending ReplacementAccendo Insurance Company300312Agent - Life7/5/2024 
InactiveAetna Health Inc. (PA)660717Agent - Health10/3/20229/5/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health10/3/20229/5/2025
InactiveAetna Life Insurance Company301140Agent - Health10/3/20229/5/2025
InactiveAetna Life Insurance Company301140Agent - Life2/22/20165/12/2019
InactiveAmerican General Life Insurance Company301585Agent - Health7/15/202410/12/2025
InactiveAmerican General Life Insurance Company301585Agent - Life7/15/202410/12/2025
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/1/20246/26/2025
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202110/31/2021
InactiveAnthem Insurance Companies, Inc.300941Agent - Health8/1/20246/26/2025
InactiveAnthem Life Insurance Company301209Agent - Health6/26/202010/31/2021
InactiveAnthem Life Insurance Company301209Agent - Life8/1/20244/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health7/29/20208/24/2021
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/29/20246/19/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health6/26/201510/31/2015
InactiveCompcare Health Services Insurance Corporation948751Agent - Health8/1/20246/26/2025
InactiveDental Concern Inc. (The)301641Agent - Health6/26/201510/31/2015
InactiveEssence Healthcare, Inc.657425Agent - Health10/11/20223/20/2023
InactiveFirst Health Life & Health Insurance Company301735Agent - Health2/22/20165/12/2019
InactiveGolden Rule Insurance Company301943Agent - Health7/9/202410/15/2025
InactiveGolden Rule Insurance Company301943Agent - Life7/9/202410/15/2025
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/17/20208/24/2021
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/26/201510/31/2015
InactiveHumana Health Plan, Inc.300142Agent - Health6/26/201510/31/2015
InactiveHumana Insurance Company301104Agent - Health8/6/20208/24/2021
InactiveHumana Insurance Company301104Agent - Life6/26/201510/31/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/26/201510/31/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/26/201510/31/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health6/26/201510/31/2015
InactiveKanawha Insurance Company300127Agent - Health6/26/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/26/201510/22/2015
InactiveLumico Life Insurance Company300354Agent - Health5/6/202011/24/2020
InactiveLumico Life Insurance Company300354Agent - Life1/8/202011/24/2020
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health9/30/202410/8/2025
InactiveSilverScript Insurance Company663526Agent - Health10/3/20229/5/2025
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/29/20246/19/2025
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/9/201612/15/2016
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/19/202212/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/29/20202/10/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/14/201612/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/29/20246/19/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCBISA Reaquisitian Corp547026Agent - Health2/20/201611/2/2019
InactiveCBISA Reaquisitian Corp547026Agent - Life2/20/201611/2/2019
InactiveDesignated Agent Company Inc.681257Agent - Health2/20/201611/2/2019
InactiveDesignated Agent Company Inc.681257Agent - Life2/20/201611/2/2019

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