DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Wayne Deon	DOIID	962379	NAIC NPN	7588184

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/3/2017	8/31/2019
Inactive	Non Resident	Agent	Health	8/3/2017	8/31/2019
* 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	8/28/2017	8/31/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/7/2018	8/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/28/2017	8/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/28/2017	8/31/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	12/7/2018	8/31/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	1/9/2019	8/31/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	1/9/2019	8/31/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/7/2018	8/31/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/28/2017	8/31/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/14/2017	1/30/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	9/14/2017	1/30/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/8/2018	8/31/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/8/2018	8/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/8/2018	8/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/8/2018	8/31/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/6/2017	3/4/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/6/2017	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	3/4/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/6/2017	3/4/2019
Inactive	Unum Insurance Company	301499	Agent - Health	11/8/2018	8/31/2019
Inactive	Unum Insurance Company	301499	Agent - Life	11/8/2018	8/31/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	8/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/12/2018	8/31/2019
Inactive	Optavise, LLC	671337	Agent - Health	10/12/2018	8/31/2019