DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Sade Breona	DOIID	689597	NAIC NPN	11664037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/31/2008	1/1/2012
Inactive	Resident	Agent	Health	10/31/2008	1/1/2012
* 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
Denied	Berkshire Life Insurance Company of America	300983	Agent - Health
Denied	Berkshire Life Insurance Company of America	300983	Agent - Life
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2011	1/1/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/11/2011	1/1/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/11/2011	1/1/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/6/2009	1/1/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/27/2009	8/23/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/27/2009	8/23/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/6/2009	1/1/2012
Inactive	Humana Insurance Company	301104	Agent - Health	12/6/2009	1/1/2012
Inactive	Humana Insurance Company	301104	Agent - Life	12/6/2009	1/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/6/2009	1/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/6/2009	1/1/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/5/2010	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/5/2010	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/6/2009	1/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/6/2009	1/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/8/2009	5/5/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/8/2009	5/5/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/31/2008	10/5/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/31/2008	10/5/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/12/2008	10/5/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/12/2008	10/5/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/6/2009	6/30/2010
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/6/2009	6/30/2010
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	11/9/2009	1/1/2012