DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Earline Denise	DOIID	1145178	NAIC NPN	17915247

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/12/2024		12/31/2025
Active	Non Resident	Agent	Life	7/12/2024		12/31/2025
* 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
Inactive	Pacific Life Insurance Company	301848	Agent - Life	11/16/2021	12/31/2023
Inactive	Protective Life Insurance Company	300638	Agent - Health	10/25/2021	12/31/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	10/25/2021	12/31/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/24/2022	2/22/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/24/2022	2/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crump Life Insurance Services LLC	505491	Agent - Life	5/23/2022	12/31/2023
Inactive	Crump Life Insurance Services LLC	505491	Agent - Health	5/23/2022	12/31/2023