DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Fredric L	DOIID	626947	NAIC NPN	8676360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/9/2021		9/30/2026
Inactive	Non Resident	Agent	Life	3/1/2006	9/30/2010
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	07/17/2024	07/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/20/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/20/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	3/20/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/5/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/27/2023	12/14/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/5/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/2/2021	12/5/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/4/2024
Active	Cigna National Health Insurance Company	300235	Agent - Health	9/23/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/27/2008	9/30/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/27/2008	9/30/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/27/2008	9/30/2010
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/5/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/30/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/17/2007	9/30/2010
Inactive	Humana Insurance Company	301104	Agent - Health	11/5/2021	12/5/2023
Inactive	Humana Insurance Company	301104	Agent - Life	9/17/2007	9/30/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/17/2007	9/30/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/17/2007	9/30/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/23/2008	9/30/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/23/2008	9/30/2010
Active	SilverScript Insurance Company	663526	Agent - Health	3/20/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/4/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/28/2006	5/13/2010
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/11/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/11/2021	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/28/2006	5/13/2010
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fidelity Health Insurance Services LLC	887889	Agent - Health	4/11/2024
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/2/2009	9/30/2010
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/2/2009	9/30/2010
Inactive	Walmart Insurance Services LLC	1087685	Agent - Health	8/11/2021	3/1/2022