DEPARTMENT OF INSURANCE
Affiliations
NameJackson, Kristy DoanDOIID730138NAIC NPN7595227
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth6/11/20105/31/2020 
InactiveNon ResidentAgentCasualty6/11/20105/31/2020 
InactiveNon ResidentAgentLife6/11/20105/31/2020 
InactiveNon ResidentAgentProperty6/11/20105/31/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Home Insurance Company301817Agent - Casualty9/18/20155/10/2016
InactiveAmerican Family Home Insurance Company301817Agent - Property9/18/20155/10/2016
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty12/10/20135/5/2016
InactiveAmerican Modern Home Insurance Company300791Agent - Property12/10/20135/5/2016
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty12/10/20135/5/2016
InactiveAmerican Modern Select Insurance Company581481Agent - Property12/10/20135/5/2016
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty12/10/20135/5/2016
InactiveAmerican Southern Home Insurance Company626276Agent - Property12/10/20135/5/2016
InactiveBristol West Insurance Company301655Agent - Casualty10/28/20155/23/2016
InactiveBristol West Insurance Company301655Agent - Property10/28/20155/23/2016
InactiveEsurance Insurance Company301072Agent - Casualty4/22/20144/29/2016
InactiveEsurance Insurance Company301072Agent - Property4/22/20144/29/2016
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty7/12/20104/29/2016
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property7/12/20104/29/2016
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/1/20105/23/2016
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/1/20105/23/2016
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty12/17/20155/23/2016
InactiveForemost Property and Casualty Insurance Company300871Agent - Property12/17/20155/23/2016
InactiveForemost Signature Insurance Company300140Agent - Casualty12/17/20155/23/2016
InactiveForemost Signature Insurance Company300140Agent - Property12/17/20155/23/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/13/20165/31/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/13/20165/31/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/13/20165/31/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/13/20164/30/2018
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty6/16/20105/3/2016
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property6/16/20105/3/2016
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty6/16/201012/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property6/16/201012/2/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUSI Insurance Services National, Inc509421Agent - Life6/13/20164/17/2019
InactiveUSI Insurance Services National, Inc509421Agent - Health6/13/20164/17/2019
InactiveUSI Insurance Services National, Inc509421Agent - Property5/10/20165/23/2016
InactiveUSI Insurance Services National, Inc509421Agent - Casualty5/10/20165/23/2016
InactiveUsi Insurance Services LLC669260Agent - Life1/4/20194/17/2019
InactiveUsi Insurance Services LLC669260Agent - Health1/4/20194/17/2019
DeniedUsi Insurance Services LLC669260Agent - Property  
DeniedUsi Insurance Services LLC669260Agent - Casualty  
InactiveWells Fargo Insurance Inc.518950Agent - Property6/22/20104/27/2016
InactiveWells Fargo Insurance Inc.518950Agent - Casualty6/22/20104/27/2016

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