DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Nautica	DOIID	1103046	NAIC NPN	19665674

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2020		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/24/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/23/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	1/23/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/16/2020	2/14/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	2/14/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/31/2022	5/24/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/9/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021	2/14/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/7/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/10/2021	5/24/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/11/2022	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	2/24/2023	5/24/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/28/2021	5/24/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/9/2021	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	1/23/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/9/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/23/2024	12/9/2024