DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Shirlee Denise	DOIID	344753	NAIC NPN	637544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/17/1997	6/28/2007
Inactive	Non Resident	Agent	Health	9/17/1997	6/28/2007
* 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 Bankers Life Assurance Company of Florida	300171	Agent - Health	10/30/2000	2/25/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	10/30/2000	2/25/2002
Inactive	American Security Insurance Company	300901	Agent - Health	10/30/2000	2/25/2002
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/17/1997	11/11/1997
Inactive	Combined Insurance Company of America	301472	Agent - Life	9/17/1997	11/11/1997
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	5/4/2001	10/30/2003
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	5/4/2001	10/30/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/21/2004	6/28/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/21/2004	6/28/2007
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	1/14/2002	11/23/2005
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	1/14/2002	11/23/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/11/2002	6/28/2007
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/23/1997	9/1/2004
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/23/1997	9/1/2004
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	9/17/1997	11/11/1997
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	9/17/1997	11/11/1997
Inactive	Union Security Insurance Company	301844	Agent - Health	1/29/2001	7/22/2001
Inactive	Union Security Insurance Company	301844	Agent - Life	1/29/2001	7/22/2001
Inactive	Union Security Life Insurance Company	300903	Agent - Health	10/30/2000	2/25/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Life	10/30/2000	2/25/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	10/22/2001	11/21/2005
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	10/22/2001	11/21/2005