DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Karen Denise	DOIID	870426	NAIC NPN	1283132

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/27/2015	11/30/2017
Inactive	Non Resident	Agent	Life	2/27/2015	11/30/2017
* 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	Humana Health Plan, Inc.	300142	Agent - Health	3/2/2015	5/2/2016
Inactive	Humana Insurance Company	301104	Agent - Health	3/2/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/2/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/2/2016	6/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/2/2016	6/14/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/2/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/2/2015	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	IMA Inc	766098	Agent - Life	3/9/2015	12/8/2015
Inactive	IMA Inc	766098	Agent - Health	3/9/2015	4/6/2016