DEPARTMENT OF INSURANCE
Affiliations
NameJackson, Alexandria DOIID1000546NAIC NPN18534032
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPersonal Lines1/5/20215/31/2023 
InactiveNon ResidentAgentHealth7/11/20185/31/2023 
* 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. (PA)660717Agent - Health11/1/20225/31/2023
InactiveAetna Health of Ohio Inc.1065035Agent - Health11/1/20225/31/2023
InactiveAetna Life Insurance Company301140Agent - Health11/1/20225/31/2023
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/30/20195/6/2021
InactiveArcadian Health Plan, Inc.728196Agent - Health12/18/20191/11/2022
InactiveGarrison Property and Casualty Insurance Company301957Agent - Personal Lines2/7/20213/12/2021
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health6/14/20209/17/2021
InactiveSilverScript Insurance Company663526Agent - Health11/1/20225/31/2023
InactiveUSAA Casualty Insurance Company300995Agent - Personal Lines2/7/20213/12/2021
InactiveUSAA General Indemnity Company300131Agent - Personal Lines2/7/20213/12/2021
InactiveUnited Services Automobile Association300158Agent - Personal Lines2/7/20213/12/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/14/20209/17/2021
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health7/11/201812/11/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health6/14/20209/17/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/14/20209/17/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/14/20209/17/2021
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/21/201912/29/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/21/20199/20/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/30/20195/7/2021

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