DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Nicholas Sean	DOIID	1217718	NAIC NPN	20399815

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	8/18/2022	11/30/2026
Active	Resident	Agent	Personal Lines	8/12/2022	11/30/2026
Active	Resident	Agent	Life	10/13/2022	11/30/2026
Active	Resident	Agent	Health	10/13/2022	11/30/2026
Active	Resident	Agent	Property	8/8/2022	11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	3/7/2024
Active	American Modern Home Insurance Company	300791	Agent - Property	3/7/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Personal Lines	3/4/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/28/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/28/2024	7/30/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/26/2024	4/14/2026
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/26/2024	4/14/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/28/2024	7/30/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/26/2024	4/14/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/26/2024	4/14/2026
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	3/1/2024
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	3/1/2024
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Personal Lines	3/1/2024
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	3/1/2024
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	3/1/2024
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/24/2022	2/27/2024
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/24/2022	2/27/2024
Inactive	State Farm Life Insurance Company	301810	Agent - Life	10/18/2022	2/27/2024
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/24/2022	2/27/2024
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	10/18/2022	2/27/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	3/7/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	3/1/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	3/1/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	3/7/2024