DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Latisha Ann	DOIID	843423	NAIC NPN	17293679

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/3/2018	4/30/2021
Inactive	Non Resident	Agent	Life	6/19/2014	4/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/22/2018	4/30/2021
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/7/2014	4/30/2017
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/22/2018	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/7/2014	4/30/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/24/2014	4/30/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/24/2014	4/30/2017
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/13/2018	12/10/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/16/2018	4/30/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/13/2018	12/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/21/2014	11/6/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/13/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/13/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/21/2014	11/6/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/13/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/21/2014	11/6/2014
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/13/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/13/2018	12/10/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/14/2018	2/7/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/31/2019	4/30/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/20/2018	2/5/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	9/12/2018	2/20/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/24/2014	4/30/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/24/2014	4/30/2017