DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

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
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/5/2021	2/14/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/13/2021	2/14/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	10/21/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	10/21/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/3/2025
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