DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Victor	DOIID	693636	NAIC NPN	8960381

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/14/2008	7/31/2010
Inactive	Non Resident	Agent	Life	11/14/2008	7/31/2010
* 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	Anthem Life Insurance Company	301209	Agent - Health	1/1/2009	7/31/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2009	7/31/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/6/2009	4/29/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/6/2009	4/29/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Virtual Cosourcing Ins Services Inc	687521	Agent - Life	1/22/2009	3/31/2010
Inactive	Virtual Cosourcing Ins Services Inc	687521	Agent - Health	1/22/2009	3/31/2010