DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Deven	DOIID	1058637	NAIC NPN	18904603

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/1/2019	8/4/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/21/2019	8/4/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020	8/4/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/21/2019	8/4/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/1/2020	5/12/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/24/2020	3/26/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/5/2019	12/8/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/22/2020	3/26/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/21/2019	8/4/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/1/2019	8/4/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/1/2019	8/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/6/2020	8/4/2021