DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Wayne E	DOIID	328487	NAIC NPN	7175542

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/13/1992	7/1/1996
Inactive	Resident	Agent	Life	1/13/1992	7/1/1996
* 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	Time Insurance Company	300683	Agent - Health	3/4/1993	7/1/1996
Inactive	Time Insurance Company	300683	Agent - Life	3/4/1993	7/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Taylor-McGill & Associates Inc.	399204	Agent - Life	1/13/1992	7/1/1996
Inactive	Taylor-McGill & Associates Inc.	399204	Agent - Health	1/13/1992	7/1/1996