DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Eric Jerome	DOIID	1068498	NAIC NPN	19328856

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/17/2019	8/31/2022
Inactive	Non Resident	Agent	Life	12/17/2019	8/31/2022
* 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	American Financial Security Life Insurance Co.	301635	Agent - Health	1/13/2020	8/31/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/17/2020	8/31/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/23/2021	8/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/23/2021	8/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/23/2021	8/31/2022
Inactive	National Health Insurance Company	300554	Agent - Health	6/23/2020	8/31/2022
Inactive	National Health Insurance Company	300554	Agent - Life	6/23/2020	8/31/2022

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	2/11/2020	4/19/2022