DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Kenneth A	DOIID	691719	NAIC NPN	4035599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/19/2008	12/31/2011
Inactive	Non Resident	Agent	Life	10/19/2008	12/31/2011
* 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	Anthem Life Insurance Company	301209	Agent - Health	7/19/2009	12/31/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/19/2009	12/31/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/1/2011	12/31/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/1/2011	12/31/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/8/2010	3/17/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/5/2010	3/17/2011
Inactive	Humana Insurance Company	301104	Agent - Life	10/5/2010	3/17/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/8/2010	3/17/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/21/2011	12/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/21/2011	12/31/2011
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/5/2008	12/31/2011
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	12/5/2008	12/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	8/4/2009	12/31/2011
Inactive	Corporate Call Center, Inc	695480	Agent - Life	8/4/2009	12/31/2011