DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pollard, Jacqueline Kathleen	DOIID	1183010	NAIC NPN	20203782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/14/2022		8/31/2025
Active	Non Resident	Agent	Life	1/14/2022		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/3/2023
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/3/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Health	1/19/2022	10/5/2023
Active	CMFG Life Insurance Company	300929	Agent - Life	2/23/2024
Active	Tier One Insurance Company	301056	Agent - Health	10/17/2023
Active	Tier One Insurance Company	301056	Agent - Life	10/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	10/3/2023
Active	Sutherland Global Services Inc	601788	Agent - Health	10/3/2023