DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Robert Merrill	DOIID	302718	NAIC NPN	7156884

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	6/7/2006	10/31/2008
Inactive	Resident	Agent	Credit Life & Health	3/18/1996	8/7/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	6/7/2006	10/31/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	3/26/1999	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	5/14/2001
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	3/18/1996	3/31/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alliance Banking Co	566569	Agent - Limited Line Credit	1/25/2007	10/31/2008
Inactive	Farmers & Traders Bank of Campton	399393	Agent - Credit Life & Health	4/10/1996	3/31/1999