DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Jalen	DOIID	1103392	NAIC NPN	19663487

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2020		7/31/2025
Active	Non Resident	Agent	Life	10/7/2020		7/31/2025
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/11/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	1/11/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	1/11/2021
Active	CareSource Kentucky Co.	838179	Agent - Health	2/10/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/5/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/13/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	10/21/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	10/21/2022
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/11/2022	8/21/2024
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/7/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021