DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Kiante Monique	DOIID	1327677	NAIC NPN	20305924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/21/2025		5/31/2027
Active	Non Resident	Agent	Health	3/5/2024		5/31/2027
* 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	03/15/2025	05/31/2025	04/30/2025	04/30/2025	Yes

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	3/12/2024	10/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/12/2024	10/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/12/2024	10/30/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/16/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/16/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/26/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/5/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/16/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/4/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/5/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/2/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/12/2024	10/30/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/5/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	e-Telequote Insurance, Inc.	687772	Agent - Health	4/15/2025