DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Stephenie M	DOIID	580130	NAIC NPN	7923670

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/18/2003	12/31/2006
Inactive	Resident	Agent	Health	11/18/2003	12/31/2006
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/1/2004	7/31/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/1/2004	7/31/2005
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/20/2005	8/18/2006
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/20/2005	8/18/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/5/2004	4/9/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/18/2003	4/9/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/18/2003	4/9/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	W & R Insurance Agency	398729	Agent - Life	12/24/2003	3/10/2004