DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Teleta	DOIID	759809	NAIC NPN	8814261

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/20/2019	8/31/2022
Inactive	Non Resident	Agent	Health	8/2/2011	8/31/2022
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	8/31/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/1/2016	8/31/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/26/2018	8/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/23/2020	8/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/1/2016	8/31/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	6/8/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/5/2015	3/23/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	10/29/2018	9/30/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/26/2018	8/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2015	3/23/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/1/2016	8/31/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/6/2017	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/13/2014	1/27/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/6/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/6/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/13/2014	1/27/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/6/2017	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/6/2017	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/13/2014	5/28/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/2/2011	11/5/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/22/2018	8/31/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/6/2019	8/31/2022
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/22/2018	8/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/22/2018	8/31/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	2/20/2017	12/12/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/11/2012	3/5/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/11/2012	3/5/2014
Inactive	Unum Insurance Company	301499	Agent - Health	10/22/2018	8/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	2/1/2019	8/31/2022