DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Latisa Renee	DOIID	1376338	NAIC NPN	21411181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/12/2024		3/31/2026
Active	Non Resident	Agent	Property	12/12/2024		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	2/9/2025	7/11/2025
Inactive	Government Employees Insurance Company	300376	Agent - Property	2/9/2025	7/11/2025
Active	Wellfleet Insurance Company	300542	Agent - Casualty	12/20/2024
Active	Wellfleet Insurance Company	300542	Agent - Property	12/20/2024
Active	Wellfleet New York Insurance Company	300245	Agent - Casualty	12/20/2024
Active	Wellfleet New York Insurance Company	300245	Agent - Property	12/20/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	1/6/2025	7/16/2025
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	1/6/2025	7/16/2025