DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Phillip Andrew	DOIID	723694	NAIC NPN	1666928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/1/2010	8/31/2026
Active	Non Resident	Agent	Health	3/1/2010	8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/23/2010	12/13/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/23/2010	12/13/2011
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/18/2015
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/18/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/13/2011	8/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/13/2011	8/20/2012
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	3/23/2010	10/5/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	3/23/2010
Active	Guardian Life Insurance Company of America	301316	Agent - Life	3/23/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/11/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/11/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/11/2016	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2011	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/13/2011	8/20/2012
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/28/2013
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/28/2013
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/28/2013
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/28/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/15/2011	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/15/2011	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/15/2011	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/15/2011	11/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Life	6/20/2023
Active	Gallagher Benefit Services Inc	525782	Agent - Health	6/20/2023