DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Deblon	DOIID	888207	NAIC NPN	16831217

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/21/2023		8/31/2025
Active	Non Resident	Agent	Property	12/21/2023		8/31/2025
Inactive	Non Resident	Agent	Health	8/24/2015	8/31/2017
Inactive	Non Resident	Agent	Life	8/24/2015	8/31/2017
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

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	9/11/2015	8/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/11/2015	8/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/11/2015	8/31/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/24/2015	9/22/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/24/2015	9/22/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/31/2015	2/11/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/9/2015	8/31/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	9/11/2015	8/31/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/31/2015	2/11/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/9/2015	8/31/2017
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	1/17/2024	4/4/2025
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	1/17/2024	4/4/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/31/2015	2/11/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/31/2015	2/11/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/31/2015	2/11/2016
Inactive	Humana Insurance Company	301104	Agent - Health	8/31/2015	2/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	8/31/2015	2/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/31/2015	2/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/31/2015	2/11/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/31/2015	2/11/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/31/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/31/2015	11/3/2015
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	1/17/2024	4/4/2025
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	1/17/2024	4/4/2025
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	1/17/2024	4/4/2025
Inactive	USAA General Indemnity Company	300131	Agent - Property	1/17/2024	4/4/2025
Inactive	United Services Automobile Association	300158	Agent - Casualty	1/17/2024	4/4/2025
Inactive	United Services Automobile Association	300158	Agent - Property	1/17/2024	4/4/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Dialogue Agency LLC	798353	Agent - Casualty	2/5/2024	4/4/2025
Inactive	Ins Dialogue Agency LLC	798353	Agent - Property	2/5/2024	4/4/2025