DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Anthony Tarrel	DOIID	754698	NAIC NPN	15845167

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/30/2014	9/30/2023
Inactive	Non Resident	Agent	Health	4/30/2014	9/30/2023
Inactive	Non Resident	Agent	Casualty	5/20/2011	9/30/2013
Inactive	Non Resident	Agent	Property	5/20/2011	9/30/2013
* 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	AAA Life Insurance Company	300287	Agent - Health	7/30/2019	4/28/2022
Inactive	AAA Life Insurance Company	300287	Agent - Life	7/30/2019	4/28/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/3/2019	11/4/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	1/3/2019	11/4/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	5/20/2011	9/23/2011
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/20/2011	9/23/2011
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/3/2019	11/4/2019
Inactive	Federal Insurance Company	301144	Agent - Health	10/12/2018	12/5/2019
Inactive	Physicians Life Insurance Company	300924	Agent - Life	5/1/2014	6/12/2018
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	5/1/2014	6/12/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/10/2019	7/7/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/7/2018	12/21/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insuractive LLC	820112	Agent - Life	2/4/2019	10/11/2019
Inactive	Insuractive LLC	820112	Agent - Health	2/4/2019	10/11/2019