DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Shamika	DOIID	1002630	NAIC NPN	16451884

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/27/2018	4/30/2022
Inactive	Non Resident	Agent	Health	7/27/2018	4/30/2022
* 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	New York Life Insurance Company	300431	Agent - Health	9/27/2018	8/30/2021
Inactive	New York Life Insurance Company	300431	Agent - Life	9/27/2018	8/30/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/7/2018	4/30/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/7/2018	4/30/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/7/2018	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/7/2018	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMA Insurance Agency Inc.	396159	Agent - Life	9/19/2018	7/23/2021
Inactive	AMA Insurance Agency Inc.	396159	Agent - Health	9/19/2018	7/23/2021