DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Kevin Lynn	DOIID	860500	NAIC NPN	17423009

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	3/5/2019	11/30/2026
Active	Resident	Agent	Life	3/5/2019	11/30/2026
* 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 Equity Investment Life Insurance Company	300389	Agent - Life	12/1/2020	4/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/3/2017	12/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/3/2017	12/1/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/18/2018	12/10/2018
Active	Athene Annuity and Life Company	301893	Agent - Life	3/15/2019
Active	Atlantic Coast Life Insurance Company	642114	Agent - Health	10/6/2020
Active	Atlantic Coast Life Insurance Company	642114	Agent - Life	10/6/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/20/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/4/2018	12/1/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/4/2018	12/1/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/18/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/18/2018	12/1/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/18/2018	12/1/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/18/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/18/2018	12/10/2018
Active	Nassau Life and Annuity Company	513671	Agent - Life	6/12/2025
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	3/13/2016	12/1/2018
Active	Oceanview Life and Annuity Company	301868	Agent - Life	5/3/2025
Active	Ohio State Life Insurance Company (The)	300865	Agent - Life	1/20/2021
Inactive	SILAC Insurance Company	300535	Agent - Health	11/11/2020	1/3/2022
Active	SILAC Insurance Company	300535	Agent - Life	11/11/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/4/2017	12/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/4/2017	12/1/2018