DEPARTMENT OF INSURANCE

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	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/18/2022		11/30/2024
Active	Resident	Agent	Personal Lines	8/12/2022		11/30/2024
Active	Resident	Agent	Life	10/13/2022		11/30/2024
Active	Resident	Agent	Health	10/13/2022		11/30/2024
Active	Resident	Agent	Property	8/8/2022		11/30/2024
* 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	09/15/2024	11/30/2024

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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/28/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/28/2024
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/26/2024
Active	Bristol West Insurance Company	301655	Agent - Property	3/26/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/28/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/26/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/26/2024
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	Inactive 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