DEPARTMENT OF INSURANCE

Affiliations

Name	Jackey, Steven R	DOIID	736075	NAIC NPN	4958887

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	9/16/2010	11/1/2017
Inactive	Resident	Agent	Property	5/2/2011	11/1/2017
Inactive	Resident	Agent	Casualty	4/28/2011	11/1/2017
Inactive	Resident	Agent	Health	9/16/2010	11/1/2017
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/28/2010	8/29/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/28/2010	8/29/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	11/1/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	11/1/2017
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	5/23/2012	12/31/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	5/23/2012	12/31/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/17/2011	2/13/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/17/2011	2/13/2012
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/7/2012	4/18/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/7/2012	4/18/2014
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	10/19/2011	2/13/2012
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	10/19/2011	2/13/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/7/2012	4/18/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/7/2012	4/18/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/15/2011	2/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/15/2011	2/20/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/26/2015	11/1/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/26/2015	11/1/2017
Inactive	Primerica Life Insurance Company	300970	Agent - Health	4/3/2015	11/1/2017
Inactive	Primerica Life Insurance Company	300970	Agent - Life	4/3/2015	11/1/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/18/2012	10/30/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/18/2012	10/30/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/18/2012	10/30/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/18/2012	10/30/2013
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/23/2012	8/14/2014
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	7/23/2012	8/14/2014
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	4/13/2012	11/1/2017
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/18/2012	10/30/2013
Inactive	United Financial Casualty Company	301886	Agent - Property	5/18/2012	10/30/2013
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	11/17/2010	8/14/2012
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	11/17/2010	8/14/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MSI Financial Group	670474	Agent - Life	4/7/2015	11/1/2017
Inactive	MSI Financial Group	670474	Agent - Health	4/7/2015	11/1/2017
Inactive	MSI Financial Group	670474	Agent - Casualty	4/7/2015	11/1/2017
Denied	MSI Financial Group	670474	Agent - Property
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	11/18/2010	3/19/2013
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	11/18/2010	3/19/2013