DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Eddie Lewis	DOIID	312314	NAIC NPN	7161312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	1/9/2002	1/7/2005
Inactive	Resident	Agent	Property	1/9/2002	1/7/2005
Inactive	Resident	Agent	Health	9/6/2000	1/7/2005
Inactive	Resident	Agent	General Lines	2/25/1991	8/15/2000
Inactive	Resident	Agent	Life	9/6/2000	1/7/2005
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	12/17/1996	8/19/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/17/1996	8/19/2003
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	1/17/2002
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	1/18/1996	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	1/17/2002
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	1/17/2002
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	1/18/1996	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	1/17/2002
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/4/1993	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/4/1993	4/9/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	1/7/2005
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	1/7/2005
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	1/7/2005
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	1/7/2005
Inactive	Countryway Insurance Company	300809	Agent - General Lines	3/17/1992	12/30/1999
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/15/2002	1/7/2005
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	3/5/1999	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	7/15/2002	1/7/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/2/2004	1/7/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/2/2004	1/7/2005
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/1991	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	9/25/1991	3/2/1999
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	8/15/2000	10/7/2002
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - General Lines	2/17/2000	8/15/2000
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	8/15/2000	10/7/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/27/1993	7/19/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	4/7/1998	12/27/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/2/1990	9/8/2000
Inactive	Ironshore Indemnity Inc.	300088	Agent - General Lines	1/16/1997	11/16/1999
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	6/22/1994	6/7/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Health	11/6/1991	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	11/6/1991	8/2/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	1/14/1997	12/31/1998
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	1/14/1997	12/31/1998
Inactive	Omni Indemnity Company	301456	Agent - Casualty	1/9/2002	1/7/2005
Inactive	Omni Indemnity Company	301456	Agent - Property	1/9/2002	1/7/2005
Inactive	Omni Insurance Company	301545	Agent - General Lines	2/25/1991	3/31/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/29/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/29/1997	10/23/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/17/2000	10/7/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/17/2000	10/7/2002
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	7/15/2002	1/7/2005
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	7/15/2002	1/7/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/13/1994	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/13/1994	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	American Independent Insurance Service Inc.	401039	Agent - Life
Denied	American Independent Insurance Service Inc.	401039	Agent - Health
Inactive	B & B Insurance Agency Inc.	400405	Agent - General Lines	10/19/1995	8/15/2000
Inactive	B & B Insurance Agency Inc.	400405	Agent - Life	10/19/1995	2/10/2003
Inactive	B & B Insurance Agency Inc.	400405	Agent - Health	10/19/1995	2/10/2003
Inactive	B & B Insurance Agency Inc.	400405	Agent - Property	8/15/2000	2/10/2003
Inactive	B & B Insurance Agency Inc.	400405	Agent - Casualty	8/15/2000	2/10/2003
Inactive	Southern Brokers Inc.	399821	Agent - Life	2/13/1990	5/31/2003
Inactive	Southern Brokers Inc.	399821	Agent - Health	2/13/1990	5/31/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003