DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Delois Diane	DOIID	714999	NAIC NPN	7962510

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/13/2018	11/30/2020
Inactive	Non Resident	Agent	Life	2/13/2018	11/30/2020
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	11/30/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/11/2018	11/30/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/8/2018	11/30/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/23/2020	11/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/11/2018	11/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/11/2018	11/30/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	8/8/2018	11/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/20/2018	10/22/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/20/2018	10/22/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/7/2019	9/5/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/7/2019	9/5/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/8/2018	11/30/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/11/2018	11/30/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/16/2020	12/2/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/16/2020	12/2/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/14/2019	11/30/2020
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	1/12/2011	11/4/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/31/2019	11/30/2020
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	9/21/2010	11/30/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	9/21/2010	11/30/2012
Inactive	United Home Life Insurance Company	300421	Agent - Life	1/16/2020	10/12/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/12/2011	8/9/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/12/2011	8/9/2012
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	11/30/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2019	11/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/20/2018	11/30/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/20/2018	11/30/2020