DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Clydell	DOIID	1035102	NAIC NPN	19081200

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/3/2019		6/30/2026
Active	Non Resident	Agent	Health	4/3/2019		6/30/2026
* 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	04/15/2024	06/30/2024	06/05/2024	06/05/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lumico Life Insurance Company	300354	Agent - Life	11/23/2021	2/9/2024
Inactive	New York Life Insurance Company	300431	Agent - Health	4/17/2019	9/20/2021
Inactive	New York Life Insurance Company	300431	Agent - Life	4/17/2019	9/20/2021
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	4/17/2019	9/20/2021
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/17/2019	9/20/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/26/2022	1/10/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/26/2022	1/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Aptia Insurance Services Group LLC	1283785	Agent - Life
Pending	Aptia Insurance Services Group LLC	1283785	Agent - Health