DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Daniel	DOIID	735675	NAIC NPN	7479847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/9/2010		2/28/2027
Active	Non Resident	Agent	Health	9/9/2010		2/28/2027
* 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	12/15/2024	02/28/2025	12/16/2024	12/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/24/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	12/24/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	12/24/2021
Active	Delta Dental of Kentucky, Inc.	301166	Agent - Health	4/28/2014
Inactive	Dental Choice, Inc.	301702	Agent - Health	4/28/2014	3/12/2018
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	2/26/2016
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/26/2016
Active	Metropolitan Life Insurance Company	301948	Agent - Health	3/3/2016
Active	Metropolitan Life Insurance Company	301948	Agent - Life	3/3/2016
Inactive	Symetra Life Insurance Company	301691	Agent - Health	9/1/2021	6/17/2024
Inactive	Symetra Life Insurance Company	301691	Agent - Life	9/1/2021	6/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliant Insurance Services, Inc.	551378	Agent - Health	4/28/2014
Denied	Alliant Insurance Services, Inc.	551378	Agent - Life
Denied	Mercer Health & Benefits LLC	607080	Agent - Health
Denied	Mercer Health & Benefits LLC	607080	Agent - Life