DEPARTMENT OF INSURANCE
Affiliations
NameJackson, Maurice DOIID1429710NAIC NPN21023776
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/16/2025 1/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202601/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/26/20254/14/2026
InactiveAnthem Insurance Companies, Inc.300941Agent - Health10/26/20254/14/2026
InactiveArcadian Health Plan, Inc.728196Agent - Health11/21/20254/14/2026
InactiveCompcare Health Services Insurance Corporation948751Agent - Health10/26/20254/14/2026
InactiveEmphesys Insurance Company300598Agent - Health12/4/20254/14/2026
InactiveHumana Insurance Company301104Agent - Health1/22/20264/14/2026
InactiveHumana Medical Plan, Inc.801568Agent - Health11/25/20254/14/2026
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTZ Insurance Solutions LLC727470Agent - Health12/15/20254/14/2026

© Commonwealth of Kentucky. All rights reserved.