DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Lonnie Michael	DOIID	338692	NAIC NPN	7186460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Personal Property & Unemployment	2/14/1995	8/23/1996
Inactive	Resident	Agent	Credit Life & Health	2/3/1995	6/2/1998
* 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	American Modern Home Insurance Company	300791	Agent - Credit Personal Property & Unemployment	2/14/1995	8/23/1996
Inactive	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	12/3/1997	6/2/1998
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	2/3/1995	7/12/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Independence Financial Inc.	399810	Agent - Credit Personal Property & Unemployment	9/22/1995	8/23/1996