DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Shameka	DOIID	928591	NAIC NPN	18029672

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/15/2019	12/31/2021
* 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	9/16/2020	12/31/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/16/2020	1/14/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/16/2020	12/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/16/2020	12/31/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/31/2019	3/1/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/16/2020	1/14/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/26/2017	10/31/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/26/2017	10/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/26/2017	10/31/2017
Inactive	Humana Insurance Company	301104	Agent - Health	7/26/2017	10/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/26/2017	10/31/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/26/2017	10/31/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/26/2017	10/31/2017
Inactive	Independence American Insurance Company	524747	Agent - Health	9/3/2020	12/21/2021
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	9/3/2020	12/31/2021
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/26/2016	12/13/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/16/2020	12/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/20/2020	12/28/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/26/2016	12/13/2016
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/20/2020	12/28/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/20/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/20/2020	12/28/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/23/2021	11/2/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/23/2021	11/2/2021

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 - Health	10/31/2019	3/2/2021