DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Kevin	DOIID	1162117	NAIC NPN	19905863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/27/2021		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/12/2022	6/26/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/12/2022	6/26/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/12/2022	6/26/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/17/2022	5/14/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	3/17/2022	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/17/2022	5/14/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/31/2023	12/12/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/17/2022	5/14/2025
Inactive	Humana Insurance Company	301104	Agent - Health	6/2/2022	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/12/2022	6/26/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/27/2021	6/12/2025

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	11/13/2021	2/20/2025