DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Michael B	DOIID	1011916	NAIC NPN	61380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/26/2023		7/31/2025
Denied	Non Resident	Agent	Casualty
Denied	Non Resident	Agent	Property
Denied	Non Resident	Agent	Life
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/30/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/26/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/24/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	4/30/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/12/2024	3/11/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/12/2024	3/11/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/31/2023	8/1/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/31/2023	8/1/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/12/2024	3/11/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/26/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/5/2023	8/1/2023
Inactive	Humana Insurance Company	301104	Agent - Health	5/31/2023	8/1/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/31/2023	8/1/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/5/2023	8/1/2023
Active	SilverScript Insurance Company	663526	Agent - Health	4/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023	4/8/2024