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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
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