DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Laverne	DOIID	697418	NAIC NPN	12714687

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/15/2009	9/30/2013
Inactive	Non Resident	Agent	Life	11/9/2010	9/30/2013
Inactive	Non Resident	Agent	Health	11/9/2010	9/30/2013
Inactive	Non Resident	Agent	Casualty	1/15/2009	9/30/2013
* 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	Direct General Insurance Company of Mississippi	552453	Agent - Casualty	1/15/2009	8/26/2011
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Property	1/15/2009	8/26/2011
Inactive	Direct General Life Insurance Company	301045	Agent - Health	11/9/2010	8/26/2011
Inactive	Direct General Life Insurance Company	301045	Agent - Life	11/9/2010	8/26/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Right Choice Ins Agency Inc	620070	Agent - Property	5/11/2010	8/26/2011
Inactive	Right Choice Ins Agency Inc	620070	Agent - Casualty	5/11/2010	8/26/2011