DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Raymond L	DOIID	681326	NAIC NPN	3368635

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/14/2013	2/28/2015
Inactive	Non Resident	Agent	Health	5/14/2013	2/28/2015
* 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	5/14/2013	10/14/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/14/2013	10/14/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	7/7/2008	2/28/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	7/7/2008	2/28/2013
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	5/27/2008	12/31/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	5/27/2008	12/31/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/9/2013	3/3/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/9/2013	3/3/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Profusion Financial Group LLC	825181	Agent - Life	10/21/2013	2/28/2015
Inactive	Profusion Financial Group LLC	825181	Agent - Health	10/21/2013	2/28/2015