DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Susan Beth	DOIID	589030	NAIC NPN	8066948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/24/2013	5/31/2021
Inactive	Resident	Agent	Health	9/24/2013	5/31/2021
Inactive	Resident	Agent	Casualty	8/6/2013	5/31/2021
Inactive	Resident	Agent	Property	8/6/2013	5/31/2021
Denied	Resident	Life & Health Consultant	Not Applicable
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	2/3/2015	6/20/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/3/2015	6/20/2019
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	5/19/2004	6/16/2009
Inactive	State Farm General Insurance Company	301122	Agent - Property	5/19/2004	6/16/2009
Inactive	State Farm Life Insurance Company	301810	Agent - Life	2/3/2015	6/20/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/3/2015	6/20/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	2/3/2015	6/20/2019
Inactive	Time Insurance Company	300683	Agent - Health	2/3/2015	6/25/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dennis Bradford Insurance Agency Inc.	400176	Agent - Casualty	1/18/2005	5/31/2009
Inactive	Dennis Bradford Insurance Agency Inc.	400176	Agent - Property	1/18/2005	5/31/2009