DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Jeffery R	DOIID	909829	NAIC NPN	17883069

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	4/9/2024	12/31/2025
Active	Resident	Agent	Health	4/9/2024	12/31/2025
Active	Resident	Agent	Casualty	4/9/2024	12/31/2025
Active	Resident	Agent	Life	4/9/2024	12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	6/15/2021
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	6/15/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/29/2016	5/24/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/24/2017	5/24/2017
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	1/1/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	1/1/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/26/2019	1/1/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/26/2019	1/1/2024
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	6/11/2018	1/1/2024
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	6/11/2018	8/16/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/13/2017	1/1/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/13/2017	1/1/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	1/1/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/24/2019	3/17/2021
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/24/2019	3/17/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/26/2019	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/26/2019	12/20/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/19/2020	12/13/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/19/2020	12/15/2020
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/13/2019	12/28/2020
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	9/13/2019	1/1/2024
Inactive	Old American Insurance Company	300762	Agent - Health	1/28/2020	1/1/2024
Inactive	Old American Insurance Company	300762	Agent - Life	1/28/2020	1/1/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/11/2019	1/1/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/11/2019	1/1/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/2/2019	6/15/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/2/2019	6/15/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/2/2019	6/15/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/2/2019	6/15/2021
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	7/26/2019	1/10/2024
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	7/26/2019	1/10/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/10/2017	1/1/2024
Inactive	Jackson Insurance Solutions	997263	Agent - Health	6/11/2018	1/1/2024
Inactive	Jackson Insurance Solutions	997263	Agent - Life	6/11/2018	1/1/2024
Inactive	Jackson Insurance Solutions	997263	Agent - Casualty	6/24/2019	1/1/2024
Inactive	Jackson Insurance Solutions	997263	Agent - Property	6/24/2019	1/1/2024
Inactive	Medlink Inc	400721	Agent - Health	5/9/2018	1/1/2024
Inactive	Medlink Inc	400721	Agent - Life	5/9/2018	1/1/2024
Inactive	Planchoice Inc.	400482	Agent - Health	2/13/2017	1/1/2024
Inactive	Planchoice Inc.	400482	Agent - Life	2/13/2017	1/1/2024