DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Campos, Jackie Carol	DOIID	503086	NAIC NPN	550998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/25/2000	7/31/2013
Inactive	Non Resident	Agent	Health	2/25/2000	7/31/2013
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	4/30/2009	6/27/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	6/27/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/22/2003	6/27/2011
Inactive	Humana Insurance Company	301104	Agent - Health	6/17/2004	6/27/2011
Inactive	Humana Insurance Company	301104	Agent - Life	6/17/2004	6/27/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/17/2004	6/27/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/17/2004	6/27/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/29/2009	6/27/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/29/2009	6/27/2011
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/25/2004	3/28/2007
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	2/25/2000	6/27/2002
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	2/25/2000	6/27/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	2/1/2008	6/7/2011
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	2/1/2008	6/7/2011