DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson Benefits Group, LLC	DOIID	671910	NAIC NPN	10154548

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	1/11/2008	3/31/2010
Inactive	Resident	Agent	Life	1/11/2008	3/31/2010
Inactive	Resident	Agent	Health	1/11/2008	3/31/2010
Inactive	Resident	Agent	Property	1/11/2008	3/31/2010
* 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 Heritage Life Insurance Company	300272	Agent - Health	4/14/2008	8/19/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/14/2008	8/19/2009
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/8/2008	3/31/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/8/2008	3/31/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/8/2008	3/31/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/8/2008	3/31/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	3/5/2008	3/31/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	3/5/2008	3/31/2010
Inactive	Union Security Insurance Company	301844	Agent - Health	10/28/2008	3/31/2010
Inactive	Union Security Insurance Company	301844	Agent - Life	10/28/2008	3/31/2010
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/8/2008	3/31/2010
Inactive	United Financial Casualty Company	301886	Agent - Property	7/8/2008	3/31/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jackson, William Mason	364801	Agent - Casualty	1/11/2008	3/31/2010
Inactive	Jackson, William Mason	364801	Agent - Health	1/11/2008	3/31/2010
Inactive	Jackson, William Mason	364801	Agent - Life	1/11/2008	3/31/2010
Inactive	Jackson, William Mason	364801	Agent - Property	1/11/2008	3/31/2010