DEPARTMENT OF INSURANCE
Affiliations
NameJackson, William MasonDOIID364801NAIC NPN1486876
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentProperty8/15/20004/15/2011 
InactiveResidentAgentCasualty8/15/20004/15/2011 
InactiveResidentAgentLife10/4/19884/15/2011 
InactiveResidentAgentHealth Maintenance Organization3/4/19943/1/2001 
InactiveResidentAgentGeneral Lines5/3/19888/15/2000 
InactiveResidentAgentHealth10/4/19884/15/2011 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health6/6/200511/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/6/200511/22/2007
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Health1/30/199612/16/1996
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Life1/30/199612/16/1996
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines2/22/19953/31/1998
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/20/20038/31/2004
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/20/20038/31/2004
InactiveAmerican General Life Insurance Company301585Agent - Health5/15/200612/16/2008
InactiveAmerican General Life Insurance Company301585Agent - Life5/15/200612/16/2008
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health2/26/20082/6/2009
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life2/26/20082/6/2009
InactiveAmerican Heritage Life Insurance Company300272Agent - Health4/14/20088/19/2009
InactiveAmerican Heritage Life Insurance Company300272Agent - Life4/14/20088/19/2009
InactiveAmerican Zurich Insurance Company300592Agent - Casualty5/15/20074/15/2011
InactiveAmerican Zurich Insurance Company300592Agent - Property5/15/20074/15/2011
InactiveAmeritas Life Insurance Corporation300126Agent - Health11/15/200110/23/2006
InactiveAmeritas Life Insurance Corporation300126Agent - Life11/15/200110/23/2006
InactiveAnthem Life Insurance Company301209Agent - Health10/6/19934/15/2011
InactiveAnthem Life Insurance Company301209Agent - Life10/6/19934/15/2011
InactiveAssurance Company of America300432Agent - Casualty5/15/20074/15/2011
InactiveAssurance Company of America300432Agent - Property5/15/20074/15/2011
InactiveAssurity Life Insurance Company301099Agent - Health3/18/20081/22/2009
InactiveAssurity Life Insurance Company301099Agent - Life3/18/20081/22/2009
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/20/20064/15/2011
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/20/20064/15/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/20013/7/2005
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/20013/7/2005
InactiveBristol West Insurance Company301655Agent - Casualty4/5/20078/7/2007
InactiveBristol West Insurance Company301655Agent - Property4/5/20078/7/2007
InactiveCeltic Insurance Company300877Agent - Health7/22/19933/31/1997
InactiveCeltic Insurance Company300877Agent - Life7/22/19933/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Health11/15/19954/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life11/15/19954/1/2007
InactiveCitizens Security Life Insurance Company301257Agent - Life9/12/20004/15/2011
InactiveClarendon National Insurance Company300843Agent - Health8/21/200310/21/2005
InactiveColonial Life and Accident Insurance Company300846Agent - Health12/6/20074/15/2011
InactiveColonial Life and Accident Insurance Company300846Agent - Life12/6/20074/15/2011
InactiveContinental Casualty Company301019Agent - General Lines2/22/19953/31/1998
InactiveDearborn Life Insurance Company300401Agent - Health12/31/20044/15/2011
InactiveDearborn Life Insurance Company300401Agent - Life12/31/20044/15/2011
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20024/15/2011
InactiveEMC National Life Company300388Agent - Health12/15/200312/21/2005
InactiveEMC National Life Company300388Agent - Life12/15/200312/21/2005
InactiveEncompass Indemnity Company546376Agent - Casualty12/13/20047/27/2005
InactiveEncompass Indemnity Company546376Agent - Property12/13/20047/27/2005
InactiveFarmers Casualty Insurance Company301616Agent - Casualty3/9/20079/22/2008
InactiveFarmers Casualty Insurance Company301616Agent - Property3/9/20079/22/2008
InactiveFarmers Insurance Exchange300336Agent - Casualty3/19/20017/6/2005
InactiveFarmers Insurance Exchange300336Agent - Property3/19/20017/6/2005
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty3/9/20079/22/2008
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property3/9/20079/22/2008
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty4/24/20072/19/2009
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property4/24/20072/19/2009
InactiveGenworth Life Insurance Company300623Agent - Health6/15/20104/15/2011
InactiveGenworth Life Insurance Company300623Agent - Life6/15/20104/15/2011
InactiveGlatfelter Insurance Company301640Agent - Casualty3/19/20017/6/2005
InactiveGlatfelter Insurance Company301640Agent - Property3/19/20017/6/2005
InactiveGolden Rule Insurance Company301943Agent - Health7/28/19953/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life7/28/19953/31/1997
InactiveGreat American Insurance Company301586Agent - Casualty5/7/200110/4/2004
InactiveGreat American Insurance Company301586Agent - Property5/7/200110/4/2004
InactiveGreat Southern Life Insurance Company301443Agent - Health12/6/19951/6/1997
InactiveGreat Southern Life Insurance Company301443Agent - Life12/6/19951/6/1997
InactiveGuardian Life Insurance Company of America301316Agent - Health7/2/19993/7/2005
InactiveGuardian Life Insurance Company of America301316Agent - Life7/2/19993/7/2005
InactiveHartford Accident and Indemnity Company301917Agent - Casualty10/24/200611/20/2006
InactiveHartford Accident and Indemnity Company301917Agent - Property10/24/200611/20/2006
InactiveHartford Casualty Insurance Company301332Agent - Casualty10/24/200611/20/2006
InactiveHartford Casualty Insurance Company301332Agent - Property10/24/200611/20/2006
InactiveHartford Fire Insurance Company300628Agent - Casualty10/24/200611/20/2006
InactiveHartford Fire Insurance Company300628Agent - Property10/24/200611/20/2006
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty10/24/200611/20/2006
InactiveHartford Insurance Company of the Midwest301918Agent - Property10/24/200611/20/2006
InactiveHartford Underwriters Insurance Company301064Agent - Casualty10/24/200611/20/2006
InactiveHartford Underwriters Insurance Company301064Agent - Property10/24/200611/20/2006
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20014/15/2011
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization3/4/19943/1/2001
InactiveHumana Insurance Company300118Agent - Health8/5/199612/31/1998
InactiveHumana Insurance Company301104Agent - Health3/24/19974/15/2011
InactiveHumana Insurance Company300118Agent - Life8/5/199612/31/1998
InactiveHumana Insurance Company301104Agent - Life3/24/19974/15/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/19/20084/15/2011
InactiveHumanaDental Insurance Company301457Agent - Health10/18/20014/15/2011
InactiveIllinois Mutual Life Insurance Company301479Agent - Health5/3/200611/18/2008
InactiveIllinois Mutual Life Insurance Company301479Agent - Life5/3/200611/18/2008
InactiveInfinity Casualty Insurance Company301280Agent - General Lines6/23/19955/13/1996
InactiveInvestors Life Insurance Company of Indiana301657Agent - Health7/29/19914/9/2001
InactiveInvestors Life Insurance Company of Indiana301657Agent - Life7/29/19914/9/2001
InactiveKanawha Insurance Company300127Agent - Health4/11/20084/15/2011
InactiveKanawha Insurance Company300127Agent - Life4/11/20084/15/2011
InactiveKentucky National Insurance Company301625Agent - Casualty8/15/20001/14/2003
InactiveKentucky National Insurance Company301625Agent - General Lines6/2/19958/15/2000
InactiveKentucky National Insurance Company301625Agent - Property8/15/20001/14/2003
InactiveLife Investors Insurance Company of America301793Agent - Health5/10/20055/13/2007
InactiveLife Investors Insurance Company of America301793Agent - Life5/10/20055/13/2007
InactiveMaryland Casualty Company301719Agent - Casualty5/15/20074/15/2011
InactiveMaryland Casualty Company301719Agent - Property5/15/20074/15/2011
InactiveMedical Life Insurance Company300693Agent - Health4/2/200212/31/2004
InactiveMedical Life Insurance Company300693Agent - Life4/2/200212/31/2004
InactiveMetropolitan General Insurance Company300709Agent - Casualty3/9/20079/22/2008
InactiveMetropolitan General Insurance Company300709Agent - Property3/9/20079/22/2008
InactiveMetropolitan Life Insurance Company301948Agent - Health3/4/200311/27/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life3/4/200311/27/2009
InactiveMutual of Omaha Insurance Company301012Agent - Health3/12/199711/13/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines2/22/19953/31/1998
InactiveNational States Insurance Company300579Agent - Health10/20/200911/30/2010
InactiveNational States Insurance Company300579Agent - Life10/20/200911/30/2010
InactiveNorthern Insurance Company of New York301317Agent - Casualty5/15/20074/15/2011
InactiveNorthern Insurance Company of New York301317Agent - Property5/15/20074/15/2011
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/20/2010
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/20/2010
InactivePruco Life Insurance Company300954Agent - Health11/15/20064/15/2011
InactivePruco Life Insurance Company300954Agent - Life11/15/20064/15/2011
InactiveReassure America Life Insurance Company301902Agent - Health5/16/19941/3/2003
InactiveReassure America Life Insurance Company301902Agent - Life5/16/19941/3/2003
InactiveSentinel Insurance Company, Limited501696Agent - Casualty10/24/200611/20/2006
InactiveSentinel Insurance Company, Limited501696Agent - Property10/24/200611/20/2006
InactiveStandard Insurance Company300185Agent - Health3/15/20064/15/2011
InactiveStandard Insurance Company300185Agent - Life3/15/20064/15/2011
InactiveStandard Security Life Insurance Company of NY301487Agent - Health3/5/20083/19/2010
InactiveStandard Security Life Insurance Company of NY301487Agent - Life3/5/20083/19/2010
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty8/15/20003/12/2004
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines7/29/19918/15/2000
InactiveState Automobile Mutual Insurance Company301824Agent - Property8/15/20003/12/2004
InactiveSymetra Life Insurance Company301691Agent - Health2/9/20062/23/2006
InactiveSymetra Life Insurance Company301691Agent - Life2/9/20062/23/2006
InactiveTime Insurance Company300683Agent - Health12/6/20002/5/2003
InactiveTime Insurance Company300683Agent - Life12/6/20002/5/2003
InactiveTwin City Fire Insurance Company300721Agent - Casualty10/24/200611/20/2006
InactiveTwin City Fire Insurance Company300721Agent - Property10/24/200611/20/2006
InactiveU.S. Financial Life Insurance Company301812Agent - Life10/5/20049/27/2007
InactiveUnion Bankers Insurance Company301769Agent - Health2/23/19953/11/1996
InactiveUnion Bankers Insurance Company301769Agent - Life2/23/19953/11/1996
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/9/20054/15/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/9/20054/15/2011
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health12/2/19947/22/1999
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life12/2/19947/22/1999
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/9/20054/15/2011
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/9/20054/15/2011
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty4/19/20074/15/2011
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property4/19/20074/15/2011
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty4/19/20074/15/2011
InactiveUnitrin Preferred Insurance Company502869Agent - Property4/19/20074/15/2011
InactiveVenerable Insurance and Annuity Company301006Agent - Life6/8/200512/20/2006
InactiveWest Coast Life Insurance Company301607Agent - Life11/9/200412/8/2008
InactiveWilcac Life Insurance Company301573Agent - Health5/16/199411/17/2000
InactiveWilcac Life Insurance Company301573Agent - Life5/16/199411/17/2000
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Life5/26/19942/28/2003
InactiveAcordia of Louisville Inc.401252Agent - Health5/26/19942/28/2003
InactiveBenefits Insurance Group, LLC592683Agent - Life7/19/20043/31/2006
InactiveBenefits Insurance Group, LLC592683Agent - Health7/19/20043/31/2006
InactiveDental Choice Agency Inc.398085Agent - Health1/23/20024/15/2011
InactiveEdward Frank Co Inc.400640Agent - General Lines6/15/19948/15/2000
InactiveEdward Frank Co Inc.400640Agent - Life6/15/19948/26/2002
InactiveEdward Frank Co Inc.400640Agent - Health6/15/19948/26/2002
InactiveEdward Frank Co Inc.400640Agent - Property9/3/20046/24/2005
InactiveEdward Frank Co Inc.400640Agent - Casualty9/3/20046/24/2005
InactiveFullCircle Insurance Agency Inc.691844Agent - Life10/17/20084/15/2011
InactiveFullCircle Insurance Agency Inc.691844Agent - Health10/17/20084/15/2011
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveInsurance Coach, LLC634145Agent - Life9/25/20068/14/2007
InactiveInsurance Coach, LLC634145Agent - Health9/25/20068/14/2007
InactiveInsurance Coach, LLC634145Agent - Property9/25/20068/14/2007
InactiveInsurance Coach, LLC634145Agent - Casualty9/25/20068/14/2007
InactiveJackson Benefits Group, LLC671910Agent - Life1/11/20083/31/2010
InactiveJackson Benefits Group, LLC671910Agent - Health1/11/20083/31/2010
InactiveJackson Benefits Group, LLC671910Agent - Property1/11/20083/31/2010
InactiveJackson Benefits Group, LLC671910Agent - Casualty1/11/20083/31/2010
InactiveKiely Hines & Associates Insurance Agency Inc.399757Agent - Life4/22/200510/1/2006
InactiveKiely Hines & Associates Insurance Agency Inc.399757Agent - Health4/22/200510/1/2006
InactiveKiely Hines & Associates Insurance Agency Inc.399757Agent - Property4/22/20057/27/2005
InactiveKiely Hines & Associates Insurance Agency Inc.399757Agent - Casualty4/22/20057/27/2005
InactiveMedlink Inc400721Agent - Life9/14/19934/15/2011
InactiveMedlink Inc400721Agent - Health9/14/19934/15/2011
InactiveNelson Ins Agency Inc400059Agent - Life10/2/20023/17/2005
InactiveNelson Ins Agency Inc400059Agent - Health10/2/20023/17/2005
InactiveNelson/Noonan Financial Services Ltd400838Agent - Life5/12/20033/17/2005
InactiveNelson/Noonan Financial Services Ltd400838Agent - Health5/12/20033/17/2005
InactivePlanchoice Inc.400482Agent - Life3/5/20034/15/2011
InactivePlanchoice Inc.400482Agent - Health3/5/20034/15/2011

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