DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson Insurance Agency Inc.	DOIID	400914	NAIC NPN	7222755

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	8/16/1993	3/31/1996
* 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	Transport Insurance Company	301683	Agent - General Lines	8/16/1993	3/31/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance One Inc.	399840	Agent - Health	10/21/1991	3/31/1996
Inactive	Insurance One Inc.	399840	Agent - Life	10/21/1991	3/31/1996
Inactive	Miller, Isaiah Kessler	383809	Agent - General Lines	3/31/1993	3/31/1996
Inactive	Miller, Michael Douglas	373457	Agent - General Lines	3/31/1993	3/31/1996