DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Alicia R	DOIID	517279	NAIC NPN	7215425

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/28/2019	7/31/2021
Inactive	Non Resident	Agent	Health	10/28/2019	7/31/2021
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	7/31/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/2/2020	7/9/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/11/2019	7/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/2/2020	7/9/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	12/11/2019	7/31/2021
Inactive	American Republic Insurance Company	300861	Agent - Health	12/19/2019	8/28/2020
Inactive	American Republic Insurance Company	300861	Agent - Life	12/19/2019	8/28/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	11/18/2019	11/18/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/22/2020	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	12/10/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	10/28/2019	11/11/2019
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	10/28/2019	11/11/2019
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	10/28/2019	11/11/2019
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	10/28/2019	11/11/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/11/2019	7/31/2021
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	11/18/2019	11/18/2020
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	12/19/2019	8/28/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/2/2020	7/9/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/1/2020	9/21/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/1/2020	9/21/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/1/2020	9/21/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/1/2020	9/21/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/2/2020	12/10/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/2/2020	12/10/2020