DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Michael	DOIID	888553	NAIC NPN	1884684

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/5/2024		9/30/2026
Active	Non Resident	Agent	Casualty	3/5/2024		9/30/2026
Inactive	Non Resident	Agent	Health	8/26/2015	9/30/2018
Inactive	Non Resident	Agent	Life	8/26/2015	9/30/2018
* 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	9/9/2015	9/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/9/2015	9/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/9/2015	9/30/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/21/2015	2/11/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/9/2015	9/30/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	9/9/2015	9/30/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/21/2015	2/11/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/9/2015	9/30/2018
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	4/12/2024
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Property	4/12/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/21/2015	2/11/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/21/2015	2/11/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/21/2015	2/11/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/21/2015	2/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/21/2015	2/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/21/2015	2/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/21/2015	2/11/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/21/2015	2/11/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/21/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/21/2015	11/3/2015
Active	USAA Casualty Insurance Company	300995	Agent - Casualty	4/12/2024
Active	USAA Casualty Insurance Company	300995	Agent - Property	4/12/2024
Active	USAA General Indemnity Company	300131	Agent - Casualty	4/12/2024
Active	USAA General Indemnity Company	300131	Agent - Property	4/12/2024
Active	United Services Automobile Association	300158	Agent - Casualty	4/12/2024
Active	United Services Automobile Association	300158	Agent - Property	4/12/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/18/2016	1/17/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/12/2016	1/17/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/18/2016	12/19/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/18/2016	1/17/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ins Dialogue Agency LLC	798353	Agent - Casualty	9/18/2025
Active	Ins Dialogue Agency LLC	798353	Agent - Property	9/18/2025