DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Jeremy Allen	DOIID	1046834	NAIC NPN	19224354

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/24/2019		10/31/2026
Active	Resident	Agent	Health	8/12/2019		10/31/2026
Active	Resident	Agent	Casualty	8/5/2019		10/31/2026
Active	Resident	Agent	Property	7/31/2019		10/31/2026
* 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
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/12/2019	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/12/2019	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	9/23/2019
Active	Dairyland Insurance Company	301370	Agent - Property	9/23/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/12/2019	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/12/2019	12/20/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	9/3/2019
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	9/3/2019
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	9/3/2019
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/3/2019
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/3/2019
Active	Trexis Insurance Corporation	599902	Agent - Casualty	9/12/2019
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	9/12/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/12/2019	2/13/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	9/3/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	9/3/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	9/3/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	9/12/2019