DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Thad Ray	DOIID	583210	NAIC NPN	7979251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/12/2004	11/30/2007
Inactive	Resident	Agent	Health	2/12/2004	11/30/2007
* 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	Athene Annuity and Life Company	301893	Agent - Health	2/12/2004	8/4/2006
Inactive	Athene Annuity and Life Company	301893	Agent - Life	2/12/2004	9/17/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/14/2004	11/30/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/14/2004	11/30/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/14/2004	11/30/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/14/2004	11/30/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	3/26/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/26/2004	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	3/26/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/26/2004	4/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	11/30/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	11/30/2007
Inactive	Standard Insurance Company	300185	Agent - Health	5/11/2004	11/30/2007
Inactive	Standard Insurance Company	300185	Agent - Life	5/11/2004	11/30/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MDinvest, Inc. Wealth Enhancement & Preservation	524970	Agent - Health	2/4/2005	3/31/2007
Inactive	MDinvest, Inc. Wealth Enhancement & Preservation	524970	Agent - Life	2/4/2005	3/31/2007
Inactive	WealthMD Corporation	632315	Agent - Health	8/22/2006	11/30/2007
Inactive	WealthMD Corporation	632315	Agent - Life	8/22/2006	11/30/2007