DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Allen R	DOIID	505948	NAIC NPN	1003355

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/8/2004		3/31/2026
Active	Non Resident	Agent	Life	7/8/2004		3/31/2026
* 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	Anthem Life Insurance Company	301209	Agent - Health	7/8/2004	6/10/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/8/2004	6/10/2016
Active	Continental American Insurance Company	301700	Agent - Health	8/18/2023
Active	Continental American Insurance Company	301700	Agent - Life	8/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services Of Connecticut, LLC	554570	Agent - Life	7/8/2004	3/31/2014
Inactive	USI Insurance Services Of Connecticut, LLC	554570	Agent - Health	7/8/2004	3/31/2014
Denied	Usi Insurance Services LLC	669260	Agent - Life
Denied	Usi Insurance Services LLC	669260	Agent - Health